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LEGAL BUSINESS NAME
BUSINESS TRADE NAME
BUSINESS ADDRESS
STREET ADDRESS
CITY
COUNTRY
ZIP or POSTAL CODE
BUSINESS PHONE
BUSINESS FAX
BUSINESS WEBSITE URL
CONTACT NAME
POSITION
E-MAIL ADDRESS
DATE BUSINESS ESTABLISHED
Please describe your company's geographic coverage area. Indicate if you have any representative offices
Which category best describes your business? Check all that apply









(Please specify)
What kind of clients does your customer base consist of?
Resellers (%)
Retailers (%)
Business (%)
SOHO Users (%)
Other (%)
(Please specify)
What were your company's total gross sales last year? Check one





What was the percentage of total revenue from each of the following areas?
Software (%)
Application development (%)
Hardware (%)
Integration (%)
Service (%)
Training (%)
Other (%)
(Please specify)
How many people does your company employ? Check one





List you top 3 suppliers
1.
2.
3.
How did you hear about eDocXL products?



(Please specify)
Additional information: Please add any extra information you believe is important but not requested for, earlier in this form
 
Name/Title/Date



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