Registro

Company Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Information

Please provide your contact information.

Job title *

Name *

Nombre

Apellidos

E-mail address *

Phone *

Fax Number

Mobile Number

Company Profile

Please provide your company details.

Website / URL *

Preferred Distributors *

D&H
Douglas Stewart
Ingram Micro US
Ingram Micro Canada
Synnex Canada
Do not currently work with a distributor

Please list each preferred distributor and your account number - If available

What percent of your business is online? What percent of your business is retail? Please list the online marketplaces you use to sell products and specify if you are online ONLY. *

What percent of your business is B2B and/or B2C? How many sales representatives do you have? Please distinguish between inside and outside reps. Please estimate your first year Wacom sales. *

Geograpich Locations *

US - Central
US - East
US - Northwest
US - Southwest
Canada - Eastern
Canada - Western
Us - All
Canada - All

Authorized Partner Of *

Adobe Creative suite
Apple
Autodesk
Solidworks
None of the above

What Wacom products will you focus on? *

Creative Pen Computers
Creative Pen Displays
Creative Pen Tablets
Smart Pads
Stylus
Accessories
Creative Pen Tablets-Pro

Name

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Contact us

Email: office@example.org

Phone: (+88) 999.888

Address: 25 Canal St., New York

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