In order to become a reseller of True North Software products, please fill out the information below. Once we have reviewed your application, you will be issued a vendor number and provided with the location and password to access the Reseller Web Site. In order to maintain your authorization as a True North Software Reseller, you must sell 2 products within 6 months.

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Contact Information	Company Name Contact Name Phone Fax E-mail

Shipping Address	Address Line 1 Address Line 2 City Province/State Postal or Zip Code Country

Billing Address  Check if your billing address is the same as your shipping address	Address Line 1 Address Line 2 City Province/State Postal or Zip Code Country

Company Information	Web Site Address Date Established Number of Employees Target Sales Territory Choose One Local Regional National International Approximate Annual Revenue Primary Type of Business Choose One System Integrator VAR ISP Storefront Reseller Corporate Reseller Network Integrator Software Development Solution VAR Hardware Do you address a specific vertical market? If so, please specify.