Reseller Form

Company_Name

Name

Phone number

Email Address

Address

How did you hear about us? How did you hear about us?Internet searchRecommendationPositive media reviewOther

Describe your Company

Do you have a current opportunity Do you have a current opportunity Yes No

Check all Environments you work with Check all Environments you work with Citrix VMWare Microsoft Terminal Emulation Hosted Servies RDP A/S 400 Other