How to Apply | 6Connex.com

1. Company Information

Company Name: *

Address: *

City: *

Country: *

Phone Number: *

2. Contacts

Main Contact Name: *

Main Contact Email Address: *

3. Description of your Busines

Date Established: *

Company's prior year annual sales:

4. Number of full-time employees

Total Employees:

Sales Reps:

Sales Reps for 6Connex Solutions:

7. Does your company offer

Other (Please specify):

8. Principle value provided by your company to its customers:

Please provide a description of value-adds and services that your company offers (i.e., reseller of software, marketing strategy, event planning consultations):

9. Please list the geographic area served by your company:

10. Please tell us why you would like to become a 6connex Reseller (max 100 words):

11. Please provide one customer reference that we can contact

Name: *

Telephone: *

Email Address: *

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