Channel Partner Application Form

If you are interested in becoming a Panoramic Universal Limited (Formerly known as IT Microsystems (India) Ltd. [ITMIL])
Channel Partner/Distributor, please complete the form below:
Contact Details:
  • First Name:*
  • Last Name:*

  • Company:*
  • City:*

  • State (if located in the INDIA):
  • Country:*


Telephone Numbers:
  • Office:*

    with STD code
  • Mobile:

  • Email:*
  • Website:


Company Primary Activities:








  • Other (please specify):


Number of employees:
  • Total:
  • Sale:

  •  
  • Tech. Support:


  • In what year was your
    company founded?
  • Number of resellers:
    (if applicable)


Indicate the vertical markets your company operates in:







  • Other (please specify):

  • Brand names of the main products currently offered in your portfolio:

  • Territories covered:

  • Where do you see the business potential for ITMIL products?

  • Please give a brief outline of your planned sales and marketing model
    for ITMIL products:

  • Please take a moment to tell us how you heard about ITMIL


 
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