Thank you for taking the time to apply online for a dealership with Telepaperl! 
We look forward to working with you soon...

Privacy note:  We value your privacy and handle your information confidentially. It is used only by Telepaper. for processing your dealer application and will not be shared with any third party. If for any reason the application is rejected, we delete all the information upon your request.  
Fields marked with (*) are required for submission. For a successful on-line application, we suggest to fill out all applicable fields. We may contact you for further details and to provide you with more information on Telepaper dealership.

1 of 4: Contact Information

  Salutation:
* First Name:
* Last Name:
* Title:
* Organization:
* Street Address:
Street Address 2:
* City
* State/Province:
* Zip/Postal Code:
* Country:
* Phone:
Fax:
Email:
Website URL:
Sales Manager:   Work phone:

2 of 4: Organization Details

Geographical area covered:
Year company established:
Federal Tax Id#:
Estimated Annual Sales Revenue:
No. of full-time employees:

3 of 4: Details of Current Activity 

What type of equipment do you currently distribute and/or service? Fax Ink Film Fax Paper
Barcode Ribbons  Self Contained Rolls
Card Printing Ribbons Paper Rolls
Laser Toner Cartridges Medical Papers
Ink Cartridges Watchman Clock Recording Tape
Printer Ribbons Computer Forms
Inkjet Paper Telex Paper Rolls
Pre-Printed Rolls Plan Printing Paper
Thermal Rolls Wide Format Rolls
 
Sales Ratios (%): Fax Ink Film: Fax Paper:
Barcode Ribbons: Self Contained Rolls:
Card Printing Ribbons:  Paper Rolls:
Laser Toner Cartridges: Medical Papers:
Ink Cartridges: Watchman Clock Recording Tape:
Printer Ribbons: Computer Forms:
Inkjet Paper: Telex Paper Rolls:
Pre-Printed Rolls: Plan Printing Paper:
Thermal Rolls: Wide Format Rolls:
 
Please list your competitors by company name and product lines sold:
 
What type of equipment do you plan to distribute and service?
Fax Ink Film Fax Paper
Barcode Ribbons  Self Contained Rolls
Card Printing Ribbons Paper Rolls
Laser Toner Cartridges Medical Papers
Ink Cartridges Watchman Clock Recording Tape
Printer Ribbons Computer Forms
Inkjet Paper Telex Paper Rolls
Pre-Printed Rolls Plan Printing Paper
Thermal Rolls Wide Format Rolls
 
Manufacturers currently represented:  

4 of 4: Credit References, Trade References Are Preferred
(Please include a fax number for each refence)

Reference 1: Reference 2: Reference 3:
Company:
Address:
City:
State:
Zip:
Contact Name:
Phone:
Fax:



Disclaimer: All brand names or trademarks are registered trademarks of their respective owners.
OEM product names and numbers are for comparison purposes only and do not represent an 
endorsement from or approval by their owners.

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