Reseller Partner Program Application

Company Name
Primary Contact	Title
Address
City	State	Zip
Phone	Fax
Email	Web

               



Primary business focus: 
What is your relationship to food service industry?                
Do you have a current business plan? (If so, please attach) Yes No
Number of years in business 
Geographic marketplace 



What percentage of your business is comprised of the following?
 Hardware
 Software
 Training
 Support
 Consulting

Are you a reseller for any other software? Yes No
If yes, please list these products 
Primary Contact Signature  Date

Would you please send to CSS any business or marketing literature you have to describe your company.

Payment Method (Please include US$995.00 at time of filing application)
Check/Money Order enclosed
Please charge my credit card Visa MasterCard American Express
* Credit Card #: * Expiration Date:
* Name on Card:

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