Reseller Questionnaire

First and Last Name *

Title

Company Name *

Website Address *

Address

Telephone Number *

Email Address *

Taxpayer ID #

Do you have a sales tax resale certificate? *

Please answer the following questions:

What is your main product line? *

How many people do you employ? *

How many sales reps? *

Do you currently sell surge protection products? Yes or No *

If yes, what brands? If no, why? *

Do you offer service contracts? If yes, explain. *

How did you hear about ZeroSurge products? *

Why do you want to sell ZeroSurge products? *

How do you sell your existing product line(s)? *

What is your typical sales cycle? *

How do you differentiate your business from the competition? *

How many customers are in your databbase and what types (industrial, government, corporate, institutional, residential, etc.)? *

What territory do you cover (list states and areas)? *

Do you offer regular training meetings for your sales force, customers, or both? If so, how often? *

How do you promote your business? *