WELCOME TO THE PARALENZ® RESELLER APPLICATION FORM
BEGIN
 
Company Name

 
VAT Number

 
Contact Person

 
Job Title

 
Phone Number

 
Company Website

 
Company Street (address)

 
Company City (address)

 
Company Postal Code (address)

 
Company State (address)

 
Company Country (address)

 
What kind of outlet do you operate?

 
Where do you operate geographically?

 
Company Revenue


 
Describe your experience in selling products to the diving/water sports segment.

 
What are your primary target groups?

 
What products do you sell?

 
How many divers are you in contact with?

 
Do you use newsletters? (how many subscribers)

 
Do you offer any services?

 
How many cameras do you plan to order yearly?

 
How will you market Paralenz® to the customers?

 
What resources will you deploy to sell Paralenz®?

 
Where did you hear about Paralenz®?

Thank you very much for your interest!
We will go through the application and get back to you ASAP.
Paralenz.com
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