RESELLERS

Are you interested in becoming a Reseller for Uptech? Authorized resellers will receive preferential pricing and will be informed on a regular basis of promotions, new products and other developments. The information that we require has been drafted as such to prevent end users from falsely claiming to be resellers:

Please fill in the following reseller application form:

RESELLER APPLICATION FORM

Company Details
Registered Name * :
Trading Name * :
Registration No * :
Date of Registration * :  (dd/mm/yyyy)
VAT Registration No. * :
Website * :
Postal Address * :
Physical Address * :
Country * :

Directors
  Name Surname Contact No.
1
2
3
Name & Tel of Auditors
Email Address * :
Tel Number * :
Fax Number * :
UPS Target Range
Select at least one of the below.
600VA to 3000VA Line Interactive
1kVA to 3kVA online
5kVA to 20kVA single phase
10kVA to 200kVA three phase
Nature of Business
Select at least one of the below.
CCTV Services
Computer Services - Retailer
Data Cabling services
Elecrtonic Engineering
Electrical Contractor
Electrical Engineering
ELectrical Wholesaler
Internet Service Provider
IT Services - Business
IT Services - Coporate
LAN & WAN Networking
Medical Equipment
PABX Supplier
POS Solution provider
Other (If "Other" Please specify)
 
  
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