VAR Application

Please submit your company's information to be considered for a VAR partnership with API. Fields with an asterisk * denote a required entry.

General Information Company Name : * Contact Name: * Address: * City: * State: * Zip: * Phone: * Fax: * Web Site Address: Email: * Relevant Experience Please list the products that you currently represent: * Are any of these products a document imaging program?   Yes No If so, please list the products: Have you offered imaging programs in the past? Yes No If so, please list the products: Are you currently a VAR for another company? Yes No If so, what companies? How long have you been in business: Years How familiar are you with document imaging solutions? Years How many employees are in your company? Total No. of Sales People No. of Technical Support No. of Administrative Positions How many clients do you have? Total Municipalities Education Financial Services Transportation Legal Industrial Other What are your anticipated sales of API products for the first year? (Existing Clients) What are your anticipated sales of API products for the first year? (New Clients) What is the average size of your typical sales transaction? Credit References: Dun & Bradstreet #: Name of Bank: Contact Name: Telephone: Email: Account#: Additional Comments: