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   WELCOME TO UNIFORCE ON-LINE RESELLER APPLICATION




CONTACT INFORMATION
*First Name:   *Last Name:
*Company Name:
*Address:
*City:  *State:  *Zip:  
Country:
*Work Phone:   Ext:   Cell Phone:  
*Fax:
*E-Mail:
*Company Site Url:
*Number of employees:
*How many technicians do you have on staff:
*How many years have you been in business:
*What is your targeted vertical markert:
* Which of the following best describes your type of business?
1. Computer Specialty Reseller - Independent store front operations.
2. Application Value Added Reseller - Travel to meet my clients (with no storefront)
3.System Integrator/VAR - Provides integration services from concept to implementation to maintenance, and assumes financial and performance risk for the entire solution.
* Which of the following best describes your POS experience?
1. No Experience
2. Basic Experience without Networking
3. Moderate Experience

4. Very Familiar with POS with Networking Market
5. Heavy POS Experience
*Which of the following peripherals have you installed?
Cash Drawer
Pole Display
Mag Stripe Readers
HandHeld Scanner Counter Scanner Scale Interface
Data Collector Receipt Printer Report Printer
How did you hear about us:
How did you find us:
Can we contact you over the Phone or Email?
Please specify:
Note: Once we receive your complete on-line application, a POS expert will respond to your request within 24 hours or contact our office at 1-800-783-1581. A "Reseller Authorized Partner Kit" package with POS demo(s) will be sent to you per your request.
Sales@uniforceonline.com
Can we contact you over the Phone or Email?


sales@uniforceonline.com Toll Free: 1-800-783-1581
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