Corporate Reseller Application Form

Please complete this Corporate Reseller Application Form ensuring all text fits within the boxes, print, sign and fax to +44(0)1461 337627 or post to BuzzSoft Limited, Headless Cross, Gretna Green, Scotland, DG16 5EA. Please do not fill this form in by hand.
Name:
Company Name:
Address 1:
Address 2:
Address 3:
Postcode/Zip Code:
Country:
Telephone Number:
Fax Number:
Web Address:
Email Address:
Confirmation of Trade Status: (please list 3 trade suppliers or any other relevant information)
Signature:	........................................................
Date:	........................................................
Thank you for your interest in becoming a Corporate Reseller for BuzzSoft. If you have any questions please email: reseller@buzzsoft.com

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