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*Company:
*Company Address:
Post Box No.
*Address1:
Address2:
*City or APO/AFO:
*Country:
Name :	Title: First Name: Middle Name: Last Name:
Name :
*E-Mail:	(This is the email address to which all correspondences will be sent, unless otherwise specified)
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*Phone:	Country Area Local Number
*Mobile No:	Country Local Number
*Fax:	Country Area Local Number
*Company's Information:	Established year: No of Location: SHOWROOM SHOP OFFICE
No of Employees
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Contact Person
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*Type of business
Distributor/Wholesale	System Integrator	Reseller/Dealer	Software	Others

Product/ Business Breakup(in percentage %)
DESKTOPS/WORKSTATIONS	%
SERVER	%
NOTEBOOKS	%
PROJECTORS	%
DIGITAL CAMERAS	%
NETWORKING	%
WIRELESS PRODUCTS	%
ACCESSORIES	%
COMPONENTS / PC PARTS	%
PRINTERS/SCANNERS	%
DISPLAY	%
GLOBAL POSITIONING SYSTEMS	%
STORAGE	%
SOFTWARE	%
SUPPLIES n CONSUMABLES	%
U.P.S. / POWER PRODUCTS	%