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Please complete the following application and click submit when complete. A Plustek or NewWave Technologies sales representative will contact you to review. If you have any questions please e-mail plustek@NewWaveTech.com.

Company Info
Fed Tax ID#
Company Name*
Address *
City *
State/Province *
Country
Zip Code *
Company Web-Site

 
Primary Contact Info
First Name *
Last Name *
Title*
NWT Sales Rep*
Phone *
Fax
E-Mail *

 
Business Type
VAR Consultant Software Development Company
System Integrator Service Bureau Vertical Application
Development Other

 
Products & Services
Hardware Software Development System Integration
Consulting Technical Support Leasing/Financing
Custom Software Service Contracts
Other

 
Corporate Status
Private Corporation Public Corporation Partnership
Proprietorship Subsidiary
Other

 
Year Business Started
 

 
Employees in Your Company
Total
Inside Sales Outside Sales
Services

Technical Support:

 
Software Products Your Company Currently Sells and Supports
ABBYY AnyDoc Captaris Captovation
ColumbiaSoft Computhink Datacap DocuLex
DocuWare EMC/Captiva FileNet Hyland OnBase
Kofax LaserFiche Westbrook

 
Top 4 Vertical Markets Your Company Targets
1. 3.
2. 4.

 
Target Market Space (Employees)
SOHO (< 5 employees) Midsize Businesses (500-999 employees)
Proprietorship Subsidiary
Very Small Businesses (5-19 employees) Large Businesses (1000-9999 employees)
Small Businesses (20-99 employees) Fortune (> 10,000 employees)
Lower-Midsize Businesses (100-499 employees)

 
Scanner Sales for
Calendar Year 2010

Calendar Year 2011

 
Scanners Currently Sold & Supported
Bell & Howell Canon Fujitsu Kodak
Panasonic Plustek Ricoh Visioneer/Xerox
Other:
 

 
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