BECOME A PART OF THE RESELLER NETWORK

Become a part of the reseller network

Company Name
Contact Name
Contact Email
Telephone #
Web Site URL (Optional)
City	State

Please check all applicable boxes	Software Developer Language (UniBasic, Progress etc)	Software Consulting
	Disaster Planning Services	User Training
	Vertical Market Vertical (i.e. Medical, Pet Store, POS etc.)	Hardware Services
	Software Reseller	Network Services
	S/W Product (i.e.FACTS, Add-On, Synchronics etc)	Geographical Service Area
Description of your products and services (Please: 500 characters or less)
Submission of this form constitutes your willingness to have this information posted in the DTR Reseller Directory.