Application Request Form


	Application Request Form

If you would like to know more about becoming a Oceanic partner, we ask that you complete a Reseller Application. You can request this application using this form. Your answers on this form will help us provide you with the most appropriate information.

Company Information
Company	*
Name	*
Title	*
Address 1	*
Address 2
City	*
State/Province	*
ZIP/Postal code	*
Country	*
Phone	*
Fax	*
E-mail	*

Business Profile
Years in business
Number of locations
Number of employees
Approx. gross annual sales
Have you ever sold Oceanic products before?	Yes No
If so, where have you purchased them?

Marketing Methods
Retail store
System integrator
Direct sales
Mail order
Other

Printers you currently market
What other related products do you sell?
What territories do you cover?
What markets do you cover?
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