DEALER FORM II

Raptor Dealer Information Form

As a computer reseller JES Hardware Solutions would like to forge a strong relationship with your company. We can accomplish this by offering the best service and technical support in the industry. As a reseller we value your time and your customers satisfaction. We can offer demo units for special customers as well as on site training of your sales representative. You can work with us in many different ways, either thru distribution (Ingram Micro or Tech Data) or by becoming a direct purchaser of our products.

No matter which path you choose, signing up as a reseller will allow you to become eligible for sales leads as well as other important information on the industry in general. The next few paragraphs are a configuration guide. If you have no systems to configure at this time, but would like more information on a reseller program, answer the questionnaire on the bottom of the page.

1.	WHICH OPERATING SYSTEM DO YOU USE? Novell Windows NT Windows 95 OS/2 Mac Nubus Mac PCI Unix (NFS) Lantastic LanMan Banyan Vines
2.	COMMENTS: please place any additional comments, concerns etc. In this box.
3.	I would like a quote sent to my E-mail address
4.	I would like a color catalog mailed to my office address:
	Company Address City State/Province Zip Country
5.	Please send me: More information Product Quote My office fax number is
6.	Do you need a technical sales support hard bound notebook sent to your office? Yes No
7.	Number of employees:
8.	States or cities covered:
9.	How many sales persons:
10.	Sales manager’s name:
11.	Do you do outbound calling to find customers? Yes No
12.	Do you need a credit application? Yes No
13.	Name of your primary distributor:
14.	Do you need an Ingram or Tech Data part number cross reference? Ingram Tech Data Both
15.	Would you like sales leads sent to your office? Yes No
16.	Do you need sales training? Yes No
17.	Would you like a sales person to call your office? No Yes Date Time Contact I can be reached at the following phone number: Extension
18.	Would you like information about our CD ROM systems? Yes No