Trimex Marketing - Distributors of Fine Computer Accessories

Customer ID:

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Reseller Application Form

Business Name

Legal Name
(if different)

Primary Business System Intergrator
VAR
Consultant / Service
Distribution
Export

Years in Business

Billing Address

Shipping Address

Telephone

Fax

Email Address

Charge GST/HST yes no

Charge PST yes no

Contact Name

Position in Company

Once you submit this form, a Trimex representative will get back to you shortly to discuss your computer product needs.

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