First Name:

Last Name

Company Name
Company Address
Company Address 2
City
Country
State/providence
Zip/postal Code
Telephone Number
Email
Website URL

How did you hear about Tech4Imaging?

What product lines or brands do you currently represent?

Which country or countries do you do business in?
Hold Down Crtl to select multiple.

How do you go to market? Direct Sales ForceSub DistributorsOther

How long has your company been in business?
Do you sell to distributors or end users?
Is there anything else you would like to tell us about your company or your business?

How Many of the following does your company have?

Direct Sales People
Marketing People
Full-time Employees
Warehouse Facilities