INGRAM MICRO CANADIAN RESELLER APPLICATION CONTRACT

INGRAM MICRO CANADIAN RESELLER APPLICATION
PLEASE FAX COMPLETED APPLICATIONS TO:
All provinces except Québec: 905-755-1398
Québec only: 514-334-2701
ALL PAGES MUST BE COMPLETED IN FULL
Please assist us to better understand your business and requirements by answering the following questions:
1. What percentage of your annual revenue represents the following areas?
Hardware: ________% Software: ________% Application Development: ________%
Educational: ________% Networks: ________% Service / Support: ________%
Other (Specify):
2. What percentage of your customer base is in the following markets?
________%
SMB (1-499 employees) : ________% Corporate (500+ employees) : ________% Educational: ________%
Health Care: ________% Government: ________% Retail: ________%
Other (Specify):
3. What are your criteria for selecting and aggressively going to market with a new vendor (i.e. profitability, market size)?
________%
4. Are you a system builder? Yes No If yes, what % of your business is related to system building? ________%
5. If you are a systems builder, what kind of systems do you build? Please check all that apply.
Gaming Desktop Commercial Server Whitebook / Mobile
6. What percentage of your inventory do you purchase from the following channels? (Your answer must equal 100%.)
Ingram Micro: ________% Tech Data: ________% D&H Canada: ________%
Supercom: ________% Synnex: ________% Others: ________%
7. How much did your company purchase on hardware and software from distribution last Year?
Less than $50,000 $100,000 – $499,000 $1,000,000 – or more
$50,000. – $99,999 $500,000 – $999,000
8. Which of the following manufacturers do you have authorized reseller agreements with? (Multiple answers are
permitted.) MANUFACTURER AUTHORIZATION # MANUFACTURER
AUTHORIZATION #
o Microsoft:
o Cisco:
o Citrix:
o 3Com:
o Apple:
o Sony:
o VM Ware:
o Symantec:
o HP:
o Lenovo:
o IBM:
o Juniper:
o Adobe:
o Other (specify)
9. Do you currently finance any of your purchases through a third-party company? Yes No
10. Do you offer a leasing program to your customers? Yes No
11. How often do you plan on purchasing through distribution?
Daily Weekly Monthly When required
12. Which method of marketing correspondence would you like to receive? Fax E-mail Mail Do not send
anything F a x N u m b e r : E - m a i l A d d r e s s :
Mail Address:
INGRAM MICRO INC. REVISED 05/01/2009
Page - 9