Keytec's Magic Touch Partner Application Form


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Partners Wanted
Touch Interactive Products Add-On Magic Touch Integrated Touch Monitor Built-In Touch Screen Kit Custom Touch Screen Large-Size Touch Screen View Touch New	We want you to join our Magic Touch Team Fields with an asterisk ( ) are required!*	If your type of business is a product developer or system integrator, you may be qualified for becoming one of our strategic partners. Whether your expertise is kiosk, point of sales, handheld device, or anything that is related to touch screen application, please tell us about yourself in the "Remarks" section. We can team up to provide more products and services to the market.

Step1: Please enter your Company Contact information.

First Name:

Last Name:

Title:

Company Name:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Direct Telephone:

Cell Phone:

Fax:

Direct Email:

Step 2: Please enter your Company's Internet Presence Profile.

What is your WWW address?

Approximately how many hits do you get on your web site per week?

Step 3: Please enter your Company's Business Profile.

President/Owner's Name:

Business Form:

Sole Proprietor Partnership Corporation

What year was the company founded?

What is your primary business?

Last year's revenues:

From which market segment does the majority of your revenue come?

Education
End User Sales
Government
Small/Medium Corporate Accounts
Large Corporate Accounts

Number of employees:

Number of sales:

How many sales offices do you have?

Number of technical personnel:

Number of administrative personnel:

Market territory:

Market applications:

List of main products currently carried:
Product Name	Manufacturer	Since (year)

Remarks: Tell us about your main expertise or experience of applying touch screen into your applications.

Step 4: Please help us set up your Account.

Which Products are you interested in selling? (check all that apply) *

Add-On Touch Screen Kit
Integrated Touch Screen Monitors
Built-In Touch Screen Kit

Step 5: Submit Application.