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Sign up for Mediafour news You will receive product specific e-mail announcements regarding software updates and upgrades.

Thank you for your interest in representing our products. Please take a few minutes to fill out this form completely to pre-qualify for Mediafour distributor or reseller status.

Our International Marketing team will be pleased to send our latest Information Pack to you upon receipt of this form.

Please provide as much detail as possible.

I am interested in becoming a Mediafour: Distributor Reseller VAR
Your Company Information
Company Name:
Name:
Title:
Address:
City:
State/Province:	Postal Code:
Country:
Phone:
Fax:
Email:
Web (complete URL please):
Other Contacts
President:
Sales & Marketing:
Customer Support:
Company/Product Information
Number of employees in the company?
Do you have offices in other countries? Yes  No
If yes, where?
Companies and products you represent (please list as many as possible):
What percentage of your customers are: Corporate: Small Business: Government: Consumer: Education: Other:
What percentage of software sales if for: Windows: Macintosh:     SGI/IRIX: Other:
What percentage of your business caters to: DTP/Prepress: Video/Film: Web authoring: Photo imaging: Multimedia: Graphic design: Goverment: Education: Other:   If other, please specify here:
Do you offer technical support to consumers? Yes  No
Do you offer online purchasing to consumers? Yes  No
Which trade shows do you attend? At which do you exhibit?
How did you learn of Mediafour products? (magazine ad, trade show, web search engine, etc.)
Please send me the Mediafour Information Packet: Yes  No