Partners Wanted - VAR Application

Value Added Reseller Application Form (Step 1 of 3)

To apply to become a participant in the matrixagent.us VAR Program, please provide us with the following information. We will review your application and contact you directly for an interview and to gather more information about what you do, what equipment you sell, etc.

Your Name (Point of Contact):     * Business Name:     * Your Email Address:     * Your Phone Number:     * Mailing Address:     * City | State | Zip:      * Select a User ID:     * Select a Password:     * Commitment Level: Level 1    Level 2  +25 VARSearch points I hereby affirm that I will deliver to Telarus, Inc. all voice and data business resulting from leads sent to me by VARNetwork. I do not, however, commit to sending voice and data leads from my core business customers. * = required fields