Please complete the below as fully
as possible, the more information you can give us the more quickly we can
evaluate your proposal.
Fields marked * are
required. When we receive your information we will forward a
username and password to you, which will enable you to download your
agency agreement from this website.
Please
complete the following details:
Your
Company Name:
*
Your Name:
*
Your
Position: *
Your
Street Address: *
Your
City or Town: *
Your Postcode:
*
Your
Country:
*
Your E-Mail Address:
*
Your Telephone Number:
*
Your
Mobile Number:
Your
Fax Number:
Your
Website URL:
PLEASE ALSO ANSWER
THE FOLLOWING QUESTIONS:
What
is your main business?
Please
detail your experience with internet, telecoms
or networking
products and services:
About
your business:
What
is your annual turnover (Euro)?
How
many employees do you have?
How
many in your sales team?
Who
are your current suppliers?
Describe
your customers?
Is
there anything else you would like to
tell us about which might help us when
reviewing your application?
Do
you already sell broadband satellite systems?
If
Yes which makes of systems do you sell?
How
many systems do you sell per quarter? (select closest)
Which
of our products most interest you?
Thank you for your
interest. If your form has been fully completed, you will be hearing
from our agency department within 24 hours.
