Download Application in PDF
Contact Info:
Company:
Primary Contact:
Phone:
Email:
Address:
 
City:
State/Province:
Zip Code :
Country:
 
Please select one: 6 Star Var          Authorized Partner
Please answer the following questions that most characterize your business:
  By percentage (%), what is your primary means of selling?
Online            by telephone            in-person
  We tend to sell:
Nationally            Regionally
  MDF funding:
We require MDF funding as a condition of doing business or for training the sales team.
We do not require MDF but appreciate its availability for building the business.
Please check the ATEN products that best complements your business:
LCD Consoles
LCD KVMs
2-4-port KVMs
8-16-port KVMs
32 or higher-port KVMs
Remote Management
Serial
Power
Video & Data Communication
Please fill in below:
  Top three manufacturer partners:
  List your KVM manufacturer partners:
  Primary vertical markets served (if applicable):
  Number of Sales Reps & Sales Engineer :
 Sales Reps            Sales Engineer(s)
Sales Rep/Engineer Name: Emai: Phone:

  U.S. States or Canadian Provinces with your highest concentration of business:
Distributor 1: Distributor 1 account number:
Distributor 2: Distributor 2 account number:
Distributor 3: Distributor 3 account number:



 
 
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