Reseller Application

BUSINESS CONTACT INFORMATION

Company:

*

Contact Name:

*

Contact Title:

Phone:

*

Fax:

Email:

note: emails will be used to communicate order information and shipment tracking details

Invoice Email:

note: all invoices are sent electronically

Address 1:

*

Address 2:

City:

*

State/Province:

Postal Code:

*

Country:

BUSINESS INFORMATION

Primary Business:

Years in Business:

Years selling bar code verifiers:

Number of RJS units sold annually:

Sales support (check all that apply):

All RJS products on your website

Sell exclusively RJS bar code verifiers

Provide RJS brochures to your customers

Display RJS equipment at one or more tradeshows each year

Advertise RJS equipment in e-newsletters

Advertise RJS equipment in trade magazines or trade websites

Technical support methods (check all that apply):

None

Telephone

Email

On-site

RJS SPECIFIC Technical support offered (check all that apply):

Bar code verifier operation

Bar code verifier calibration

Bar code verifier report printing

Bar code verifier standards

Bar code quality standard

GS1 Certified Solution Partner

OTHER ASPECTS OF YOUR
BUSINESS YOU WOULD LIKE US TO CONSIDER

I have read and understand the Terms and Conditions * You must check that you have read and understand the terms and conditions