Planar Systems :: New Reseller Form

Planar Reseller Application

Thank you for your interest in reselling Planar Desktop Monitors, Touchscreen Monitors or DLP Projectors. In addition to a select number of Authorized Resellers, we are proud to offer our products through our distribution partners ICG, IngramMicro.com, StampedeGlobal.com, Synnex.com and TechData.com. They offer competitive prices and great service to resellers interested in the Planar product line and we encourage you to reach them directly.

Please complete the following form if you are interested in becoming a Planar reseller. * = Required Fields

*Company Name

*Address

Address 2

*City

*State/Province

*Zip

*Country

*Main/Sales Phone

Main Fax

Sales Email

Company Web Site URL

*Your Name

*Title/Role

*Direct Phone

*Direct Email

Your Target Market(s) (check all that apply)


Consumer/Home		Government
Small Business		Healthcare
Corporate Accounts		Education
Point-Of-Sale Systems		Other

*Year Established

*Total Number of Employees

*Sales Employees

*Technical/Support Employees

# of Sales Offices

Sales Locations

Do you have Storefronts?

Yes No

Storefront Locations

*Annual Sales Revenue

*Annual sales of LCD monitors?

Okay to email you product info?

Yes No

*Percentage of sales to PC users?

*Percentage of sales to Mac users?

Please estimate your percentage of sales from the following:


Web Site	%	Monthly Catalogs	%
Direct Mailers	%	Telephone Sales	%
Consulting	%	Seminars/Training	%
Regional Sales People	%

Is there a current sales opportunity that we can help you win? Please include details and someone will contact you shortly:

I Hereby Certify: I hold a valid seller's permit

*Number

*Issuing State

*issued pursuant to the Sales and Tax Law; that I am engaged in the business of selling:

The information on this form may be shared in whole or in part with Planar affiliates and distribution partners at Planar's discretion. Planar or Planar's distribution partner will contact you to follow-up on the application or to request additional information.

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