Welcome to the New PC Experience

Reseller Application



Thank you for your interest in the Velocity Micro Reseller Program. Please complete this application. We will respond within 3 business days to submission of your request. If approved, we will contact you with further instructions and issuance of reseller code for pricing. If you have any questions, please contact Reseller Sales at 800-303-7866.

Applicant Information  
Business Name
Legal Name
Address
City
State
Zip
Phone
Fax
Contact Name
Title
Email
Web URL
Yr. Company Started
Number of full-time Employees
Number of Outside Sales Reps
Inside Sales Reps
   
Please list the names of your key principals, officers and owners below:
Name Title % Ownership
   
Computer Hardware Reseller Vendor Authorizations:
Please select all that apply:
Compaq
Dell
HP
IBM
Other (specify)
   
Company Profile
Please provide a description of your primary business, products and services, and a brief history of your company:


Targeted Customer Market (please check your primary market)
Very Small Business (1-49 Employees)
Small Business (50-449 Employees)
Medium Business (500-999 Employees)
Large Business (1,000 + Employees)

Target Industry Segments (please check all that apply)
Automotive
Architecture
Bio-Technology
Education
Engineering
Financial Services
Government
Healthcare
 Insurance
Legal
Manufacturing
Real Estate
Retail
Telecommunications
Travel/Transportation
Other
   
Annual Sales Revenue
Prior Year Total Sales: $
Current Year Projected Total Sales: $
What percent of your annual sales is derived from the sale of the following services?
Computer Systems %
Software %
Peripherals %
Consulting %
Repair/Maintenance %
Network/Systems Integration %
Do you build/assemble your own private label personal computer products?
If yes, what percent of your Computer Systems sales are private label? %
Do you sell computers to resellers?
If yes, what percent of your Computer Systems sales are to resellers? %