Company
Information
*
Company Name:
* Date
Business Established:
* Number
of Employees:
* Primary
Business:
Store Front/Retail
Online/Catalog
VAR
Home Office
Business URL:
http://
https://
Example:www.ViewEra.com
Dun & Bradstreet Number:
Company
Address
* Address:
* City:
State:
Postal Code:
Country:
Time at current address:
* Phone:
(
)
Fax:
(
)
*
What is the function of this
location:
Corporate Offices
Storefront
Others
Primary
Contact
* First
Name:
Middle
Initial:
* Last
Name:
Job Title:
Department:
* Phone:
(
)
Ext.
Fax:
(
)
* E-mail:
Company's
Annual Sales Revenue
Annual Total Sales Revenue:
$0
$1-$100k
$101k-$250k
$251k-$500k
$501k-$1mil
Annual Total Sales
Revenue for Display:
$0
$1-$100k
$101k-$250k
$251k-$500k
$501k-$1mil
What other brands of Displays
do you currently Sell?
1.
2.
3.
How Many LCD Monitor do you
currently sell per month?
15"-
17"-
19"-
22"-
What customers do you primarily
serve?
EndUsers
Small/Medium
Business
Large Corporate
Education
Government
What is your secondary
customer source?
Education
Government
Home Users
Large Corporate
Small/Medium
Business
Other
*
I HEREBY CERTIFY: That I hold
a valid Reseller Permit No.
#
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New
Hampshire
New
Jersey
New
Mexico
New
York
North
Carolina
North
Dakota
Florida
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode
Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West
Virginia
Wisconsin
Wyoming
issued
pursuant to the Sales and Use
Tax Law; that I am engaged in
the business of selling
My
Permit will expire on:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
A ViewEra Representative
will contact you to obtain
a copy of your Reseller
Permit.
Demo Display Purchases:
The
tangible personal property
described herein which I shall
purchase from ViewEra Corporation,
will be resold by me in the
form of tangible personal
property; provided, however,
that in the event any of such
property is used for any purpose
of business, it is understood
that I am required by Sales
and Use Tax Law to report
and pay tax measured by the
purchase price of such property.
Description of property to
be purchased: Computer Equipment
& Parts.
Trademarks
and Logo Use:
ViewEra
hereby grants to the undersigned,
(the "Requester"), a limited
right-to-use license (the
"License") for certain ViewEra
trademarks and logos (the
"Logos") as described herein,
and under the following terms
and conditions:
1) This License is granted
for the benefit of ViewEra
resellers and others with
a legitimate intent to advertise
and sell ViewEra products;
2) ViewEra has full ownership
right to the Logos and Requester
does not acquire any rights,
title or interest in or to
the marks beyond that set
forth herein; 3) If Requester
uses the Logos in conjunction
with logos representing awards
or publications of companies
granting such awards, it shall
be the responsibility of the
Requester to give appropriate
attribution to such companies,
and to correctly identify
such logos with their respective
companies; and 4) Requester
may not, under any circumstances,
alter the appearance of the
Logos, either by alteration,
size, color or combination
with any other logo. Breach
of this section will be grounds
for immediate termination
of this License, and any other
legal remedies ViewEra may
deem appropriate.
Other:
ViewEra
will not be liable to any
party for special, indirect
or consequential damages even
if advised of the possibility
of such damages. ViewEra reserves
the right to modify or terminate
its Reseller Partner Program
at anytime without notice
or liability. The laws of
the State of California, exclusive
of choice of law rules, will
govern this transaction.
General
Program Rules
By
clicking the submit button
below you agree to the above
terms and conditions of the
ViewEra Reseller Program,
General Rules of the View
Reseller Program, Lead Referral
Program Rules and Demonstration
Unit Program Rules:
*
I agree to the terms listed
above.