Micr Printers and Transactional Kiosks from Source Technologies

Become a Source Technologies' Reseller

Application for Participation in the Source Technologies Partner Program. For all other inquiries, please click here.

We appreciate your interest in the Source Technologies Partner Program. We feel strongly that this program will ensure sustained success with our solutions well into the future.

* Indicates a required field.

1. Company Profile

*Company Name 
 dba: 
  
*Address 


*Company Phone 
*Company Website 
*Fax 
*Primary Contact Name 
*Primary Contact Email 
 *City 
*State/Province  
*Postal Code  
*Country  
Company Contacts:

Executive: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  
   
General: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  
   
Marketing: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  
   
Sales: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  
   
Technical: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  
   
Services: 
Contact Name:    
Title    
 E-Mail 
Phone  
Postal Code  
Country  

2. Financial Information 

Annual Company: Estimated Revenue:

2009:
 
2010: 
 
2011:
 



3. Please allocate a percentage of revenue to the following categories: 

Hardware:             %
Software:               %
Services:               %
Consumables:     %
Other:                     %


If you have allocated a percentage figure to Other, please elaborate here on what those revenue generating activities are:   
 

 

4. Company Information: 

Please provide an overview of the complimentary products/services to Source Technologies product line that you sell/service/support:
 

How long has your company been in business?
 

 


Please describe the benefits of doing business with your company: 

 
 

 

5. Value Added 

A.) Application Development & Engineering Services

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

 

 

B.) On-Site System Installation and Training

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

 

 

C.) Post-Sale Hardware Integration – please indicate any certificates/qualifications your company holds from other hardware manufacturers

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

 

 

D.) Post-Sale Hardware Support – phone based technical support

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

E.) Post-Sale Hardware Support – on-site service / repair

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

F.) Post-Sale Hardware Support – Depot services

Offered? Yes
                 No
Number of personnel?  

 


Certifications/Other Comments
 

 

G.) Warranty Repair – do you hold certification for other manufacturer’s warranty repair services?

Offered? Yes
                 No
Number of personnel?    

  


Certifications/Other Comments
 

 

H.) Software Integration – please indicate any software certificates/qualifications your company has with other software manufacturers.

Offered? Yes
                 No
Number of personnel?    

  


Certifications/Other Comments
 

 

I.) Product Integration – please indicate any integration services offered by your company.

Offered? Yes
                 No
Number of personnel?    

  


Certifications/Other Comments
 

 

Please list the brands of printer and/or self-service products your company sells/services/supports:
IBM
NCR
HP
Troy
InfoPrint Solutions
Xerox
Other

 


Briefly describe your partnership history with any companies selected above.
 

  

Please indicate which of Source Technologies’ products and solutions you are interested in selling:
Secure/MICR Printers
Self-Service Kiosks
Software Solutions


 

Please indicate what percentage of sales you achieve through the following methods:

Method  % of Sales
Face to face    
Internet    
Telesales 
Paper Catalog 
 Other 
   

Target Markets – please indicate the percentage of your sales to the following markets: 
Method  % of Sales
General Merchandise    
Travel/Transportation    
 Healthcare 
Hospitality  
Banking/Financial  
Retail 
Government 
Other 

I.) I have reviewed Source Technologies' MAP policy.

Click here to download and review Source Technologies' MAP policy

                 Yes
                 No

 
Click submit below to process your application.  Thank you for your interest in Source Technologies!  





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