Reseller Opportunity Form

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Contact Information
First Name*:		Address*:
Last Name*:
Title:		City*:
Company*:		State/Province*:
Phone*:		Zip*:
Email*:		Country*:
Website*:
Company Information
Business Type*:		Other:
Primary Customer*:
Vertical Focus*:		Other:
Number of Employees*	Sales:
	Marketing:
	Services:
	Custom Development:
	Other:
Annual Revenue*	Hardware:
	Software:
	Services:
	Other:
Years in Business*
Company Background
What is your current market focus?
Do you have multiple locations?		Yes No
If Yes, number of locations
Location of offices:
Have you had any industry recognition awards or certificates?
Software/Hardware certification?
Software and Hardware currently selling*:
Do you have any previous experience selling Point of Sale Software?		Yes No
If Yes, how many years?
Do you have any previous experience in dealing with foreign companies outside of your territory/country?*		Yes No
If Yes, how many years?
Foreign Companies:
Why do you want to add POS solutions to the current portfolio of products to market and sell?
How do you see the retail market and its competitors in your territory/country?
Please tell us briefly how you plan to promote and sell the Retail Pro solution
Can you forecast the approximate percentage of Retail Pro business that can be a part of your business a year from now? *
* Indicates required item
Prospective Business Partner Nondisclosure Agreement Retail Pro International, LLC. is providing me with proprietary and confidential information in the form of marketing materials, dealer policies and the Retail Pro® Business Partner program ("CONFIDENTIAL INFORMATION") for the sole purpose of enabling me to evaluate whether I would like to become a certified Retail Pro® Business Partner. I am not acquiring any right or interest in the Confidential Information. I agree not to disclose or use this Confidential Information for any reason other than the evaluation purposes set forth above; and I agree not to use this Confidential Information in a manner that could adversely affect the marketing activities of Retail Pro or its Business Partners. I warrant that I am not obtaining this Confidential Information for any Retail Pro competitor or for any other purpose other than possibly entering into a Retail Pro® Business Partner agreement. I agree not to make copies of the Confidential Information and I will return all Confidential Information to Retail Pro upon request. I agree to the above Prospective Business Partner Nondisclosure Agreement.