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Unisol International
8024 NW 90th St. Miami, FL 33166, USA
Ph. 1-305-885-2656, Fax 305-489-2685
contact@unisolinternational.com
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| www.unisolinternational.com |
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I (we) request to become an authorized customer of UNISOL INTERNATIONAL CORP. The company presented below is legally established and with business interest in the fields of Security, IT and/or other products distributed by UNISOL INTERNATIONAL CORP. I (we) are an organization with the necessary background , knowledge and infrastructure to efficiently service the market. I (we) have read and agree to the Terms and Conditions that will be established in our relationship with UNISOL INTERNATIONAL CORP.
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| Customer Registration Form |
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* - Fields required.
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Business Information
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| * Legal Business Name(As in incorporation Documents): |
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* Date of Incorporation (yyyy/mm/dd): |
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| * City of Incorporation: |
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* State: |
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| * Country of Incorporation: |
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| * Number of Employees: |
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| * Federal Tax ID: |
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Mailing Address
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| * Business Street Address & Number:
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* City: |
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| * State:
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* Country: |
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| * ZIP Code:
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* Contact Name: |
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| * Telephone Number(s):
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* Email: |
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* Sign up for Weekly Newsletter? : |
Yes
No Thanks
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| Fax:
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* Second Contact: |
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| Website:
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* Email: |
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* Sign up for Weekly Newsletter? : |
Yes
No Thanks
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Shipping Address
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| * Street Address and Number:
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* City: |
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| * State:
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* ZIP Code: |
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| * Country:
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| * Telephone Number(s):
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Fax: |
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* Annual Sales (In U.S.D) |
$0.00 ---------------- $250,000.00
$250,001.00 ------- $500,000.00
$500,001.00 ------ $1,000,000.00
$1,000,001.00 ----- $5,000,000.00
$5,000,000.00 or more
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Please Indicate your line of business.(Check all that apply):
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Computers
Networking
Consulting
Internet
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Training
Carrier
Security
CCTV
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Wireless
Access Control
Alarm / Protection
Computer Hardware
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Software
Maintenance or Service
Integrator
Other:
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Preferred Sales Representative
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Alberto
Jenniffer
Gabriel
Catalina
Juliana
Jose
I don't have one |
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Documents Required
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(1) Copy of Federal Tax ID Number
(2) Copy of Sales Tax Certificate(Reseller Certificate)
Note: The applicant agrees to immediately notify UNISOL INTERNATIONAL CORP. in writing of any changes in ownership, contacts, address, and financial and/or any other changes in the management/finance area or its business as set forth herein.
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Terms and Conditions
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I agree to the terms and conditions
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