Targus PartnerVantage™ Canada Program - Online Enrollment (President / Owner / Director)  CONTACT INFORMATION Note: The Targus PartnerVantage Program is available only to North American users. Company Name:* Job Title:* Salutation: Contact First Name:* Contact Last Name:* Contact Address:* Contact Address 2: Contact City:* Contact Province:* Contact Postal Code:* Contact Country:* Canada Contact Phone:* Extension: Contact Fax: Contact Email:* Company Web Site:* Number of years employed with the company:  COMPANY INFORMATION Year Established: Number of Employees: 0-100 100-500 500-1000+ Annual Sales Revenue: 0-2 million 2-5 million 5-25 million 25-100 million 100 million+ Branch offices in the following cities. (Mark all that apply) CalgaryEdmontonHalifax LondonMontrealOttawa QuebecReginaToronto VancouverVictoriaWinnipeg Distributors: Ingram MicroSupercomSynnex Tech Data Other, please list:      GENERAL INFORMATION Annual Notebook/white book/laptop volume: 0-250 250-500 500-5000 5000+ Annual System volume: 0-250 250-500 500-5000 5000+ Whose brands of note books do you resell? Mark all that apply. AcerAppleCompaq DellFujitsuHP IBM/LenovoLGPanasonic SonyToshibaWhite book Other, please list:     Vertical Market Specialty: Advertising/Design/PublishingBusinessConsumer Corporate EnterpriseEntertainmentFinance Gov't - FederalGov't - MunicipalGov't - Provincial Higher EducationK-12 EducationLegal MedicalPrivate EducationReal Estate Small/Med. BusinessWhite Box/System Builder Other, please list:     Define you primary business. If more than one type applies, mark all that apply from 1-5, with 1 being the most business and 5 being the least business. N/A 1 2 3 4 5 SMB N/A 1 2 3 4 5 Fortune 500 N/A 1 2 3 4 5 Government (Federal, Municipal or Provincial), and Education N/A 1 2 3 4 5 Store Front (Sell to Consumer, SOHO and SMB) N/A 1 2 3 4 5 Other, please list:   Do you currently resell Targus Products? Cases Accessories Both No Targus Products Resold What other brands of mobile accessories do you resell? Notes (any further instructions, alternate address, etc.) Thank You for registering with Targus Partervantage Canada program. An email will be sent to you shortly to confirm your registration. Targus reserves the right to modify or cancel its reseller partner program at any time without notice. Targus will not be liable to any party for special, indirect or consequential damages even if advised of the possibility of such damages. By submitting this application you agree to the above terms and conditions of the Targus PartnerVantage Program.