New Vendor Application

Company information
Company*:
Legal Company Name*:
Website URL:
Address 1*:
Address 2:
City*:
State/Province:
Zip*:
Country*:
Type of Business Entitiy*:
Public Company Stock Symbol:
Number of Employees*:
Year Established*:
Fiscal Year-end (month)?:
Total Annual Revenue*:
Annual Revenue (Channel Products)*:
Projected rev. this year (All Products)*:
Proj. rev. this year (Channel Products)*:
Contact information
Salutation:
First Name*:
Last Name*:
Title:
Email*:
Phone*:
Fax:
Mobile Phone:
Marketing Information
What is your marketing budget for this Year?* $
Targeted Reseller Market Segments*:










Product Information
Select the Sub-Categories which best describe your products:*
(check all that apply)




















Brief Description of Product/Services*:
Average Product MSRP*: $
Average Product Price to Distributor*: $
Average Distributor Margin*: %
Customer Information
Types of Indirect Customer/Channels sold into*:
(check all that apply)





Types of vertical markets sold into*:
(check all that apply)






List your key resellers/customers:
Competitors:
Key competitive advantages:
MONT group of companies will treat as confidential, and will not disclose to any third party, vendor's non-public financial information as provided on or in support of this Vendor Application.  Vendor will, upon request, provide MONT group of companies with sales and marketing information relating to vendor's business, including information that is requested herein.