Ecommerce Resellers Agreement by uap13739

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									                                             WELCOME TO INGRAM MICRO

Ingram Micro Inc. (Ingram Micro) is the world’s largest distributor of microcomputer products. We market and distribute more than 280,000
SKUs from over 1,700 of the world’s top hardware manufacturers and software publishers. We also offer a range of programs and services
to computer resellers and VARs across the nation. Ingram Micro is the preferred choice of thousands of technology product resellers
nationwide.

Ingram Micro strives to ensure that we quote prices and sell our extensive product offering of hardware, software, peripherals, and
accessories only to qualified resellers who plan to purchase products for resale within the Information Technology industry. We offer
discounts on quantities greater than one piece as well as special pricing. Please ask your sales representative for details. Retail prices are
provided by the product manufacturer for informational purposes and are suggested prices only. You may choose to sell the products at a
different price.

Our East Coast Sales Office is open from 8 a.m. until 9 p.m. EST and our West Coast Sales Office is open from 7 a.m. until 6 p.m. PST.
Our Sales Department can be reached by calling (800) 456-8000, extension 44. To place orders and view our electronic catalog over the
web at www.ingrammicro.com, you must first obtain an ID from Electronic Commerce Support (ECS). Once you receive your account
number, call ECS at (800) 616-4665 (choosing option 2) to obtain your ID. Please allow 48 hours for your web ID to be established.

At Ingram Micro we value our customer relationships. In order to establish your reseller partnership with us, we ask that you fill out the
enclosed Ingram Micro customer kit and return it using the cover sheet provided (page 7). Once we receive the completed documents,
please allow 2-3 business days for your application to be reviewed. All applications are subject to approval; if approved, you will be
contacted and assigned an account number. Please note: As of October 28, 2002, all reseller applications submitted to Ingram Micro
will be subject to a refundable application fee of $100 if the application is approved. This fee will be refunded after one hundred
twenty (120) calendar days to new customers whose accounts show net sales of $1,500 or more in billed product during the first
sixty (60) calendar days following the opening of the account.

All documents must be completed before your account can be opened and pricing/availability can be quoted. We don’t want to
delay your business success another minute. Thank you.

Sales Terms and Conditions: All product sales by Ingram Micro to applicant will be subject to Ingram Micro’s standard Sales Terms and
Conditions as published on Ingram Micro’s website at www.ingrammicro.com at the time of sale. Any variance from those terms and
conditions will be effective only if agreed to in writing by Ingram Micro prior to the time of sale.

                              Please complete this section and return with your application
                          DESIGNATE AN eCOMMERCE USER ADMINISTRATOR
Ingram Micro requires each reseller to designate a user administrator who will be responsible for maintaining their company’s eCommerce
user names and passwords.

The user administrator is responsible for:
1.   Requesting IDs for all new users with Ingram Micro.
2.   Maintaining all IDs and passwords for their company’s users.
3.   Designating a backup administrator to perform these duties when they are unavailable.

The user administrator is the only person authorized to contact Ingram Micro’s eSolutions Customer Support (ECS) to request new IDs,
request changes to existing IDs, or request deletions of existing IDs. Other associates are free to contact our ECS Analysts with support
questions, however ECS will refer all eCommerce registration questions to their user administrator.

Please provide the names, phone numbers, and E-mail addresses of the individuals who will serve as the primary and backup eCommerce
user administrators for your company.



Primary User Administrator Name                          Phone Number                            E-mail Address



Backup User Administrator Name                        Phone Number                          E-mail Address
To request user IDs and passwords for Ingram Micro’s eCommerce tools, the user administrator should contact the eSolutions Customer
Support Department at 1-800-616-4665. ECS representatives are available Monday through Friday, 8:00 a.m. to 8:00 p.m. EST.




CREDAP09.doc                                                         2/20/03                                                          Page 1 of 8
                                               RESELLER APPLICATION                                                              Account Number
                                                                                                                               (For Office Use Only)

                 Will you be reselling the product that you purchase from Ingram Micro?              Yes       No
          I      If “No”, stop here: Ingram Micro’s position in the industry is as a distributor/wholesaler.

DOCUMENTS MUST BE FULLY COMPLETED BEFORE AN ACCOUNT IS OPENED AND PRICING QUOTED.

Have you had an account with Ingram Micro before?           Yes      No If yes, under what account name/number? __________________________________
                                                       DESCRIPTION OF BUSINESS (Please type or print)

Date business established: _________________________________ Length of time at current address: Years _____________ Months ______________

This company is a (check one):                C-Corp, State of Incorporation __________________       S-Corp, State of Incorporation _________________
                                              Sole Proprietorship            Partnership     LLC (If LLC, must enclose Articles of Organization)
Ownership:                                    Public               Private           Federal Tax ID Number _______________________________________
Is there a parent corp. or subsidiary?        Parent              Subsidiary         Parent or Subsidiary name ______________________________________


Legal Business Name – As it appears on business license (Required)                   Officer’s/Owner’s Name (Required)

Business Trade Name – DBA (Required if using DBA name)                               Title & E-Mail Address

Business Street Address – Bill To (Required)                                         Officer’s/Owner’s Name (Required)

City, State, Zip Code                                        County & Country        Title & E-Mail Address

Business Phone Number(s) (No 1-800 or cell phone numbers)                            Authorized Purchaser(s) (Must be listed to receive account information)

Business Fax Number (Required)                                                       E-Mail Address

Business Web Site Address
                                                                                     Authorized Purchaser(s) (Must be listed to receive account information)
SHIPPING ADDRESS (Required-cannot ship to a PO box. If more than
one, please attach list)                                                             E-Mail Address

Street Address                                                                       Authorized Purchaser(s) (Must be listed to receive account information)

City, State, Zip Code                                        County & Country        E-Mail Address

Customer agrees to notify Ingram Micro of any changes of ownership of its business within ten (10) days, as set forth herein by certified mail to
the appropriate address listed on page 8.

TERMS REQUESTED:                    PREPAID (Wire Transfer, ACH)               CREDIT CARD (Discover, MasterCard, & Visa only)
(Indicate preference)               EFT/DIRECT DEBIT                           NET TERMS – Credit Line Requested $____________________

 THE BANK AND TRADE REFERENCES SECTION BELOW MUST BE COMPLETED TO BE CONSIDERED FOR NET TERMS OR EFT/DIRECT DEBIT.

BANK REFERENCES – PLEASE COMPLETE FULLY. IF REQUESTING NET TERMS OR EFT/DIRECT DEBIT, THIS SECTION MUST BE COMPLETED.
                                           (If more than one, please attach list)

Bank Name                                               Account Officer’s Name                                 Checking Account Number

Address (Street, City, State, Zip Code, & Country)                                                             Savings Account Number

Telephone Number                                       Fax Number                                              Loan Number


Dun & Bradstreet Number #_________________________________

                      TRADE REFERENCES (COMPUTER TECHNOLOGY INDUSTRY PURCHASES DURING THE PAST 12 MONTHS)


Name                                      Address                                                     Telephone #                Account #

                                                                                                                                 Account #
Name                                      Address                                                     Telephone #
CREDAP09.doc                                                                   2/20/03                                                            Page 2 of 8
                (IF INCORPORATED, PROCEED TO THE SIGNATURE SECTION AT THE BOTTOM OF THIS PAGE)
                               THE FOLLOWING SECTION MUST BE COMPLETED IF DEALER IS NOT INCORPORATED
                           PRINCIPAL (Owner/Partner) INFORMATION (Use separate sheet if necessary to list 100% ownership)

The undersigned individual who is either a principal of the credit applicant or a sole proprietor of the credit applicant, recognizing that his or her individual
credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on
the undersigned by the above named business credit grantor in the credit evaluation process.

                                     A signature is required for individuals releasing their credit history

Owner/Partner Name                                      % Ownership         Social Security Number                          Driver’s License Number

Address (Street, City, State, & Zip Code)                                                                                   Telephone Number

Have you ever filed for bankruptcy?         Yes       No If yes, which?        Personal        Business       Date Filed: ______________ Status: ______________

________________________________________                          ________________________________________                           ____________________________
Signature (Required)                                              Title (Required)                                                   Date (Required)


Owner/Partner Name                                      % Ownership         Social Security Number                          Driver’s License Number

Address (Street, City, State, & Zip Code)                                                                                   Telephone Number

Have you ever filed for bankruptcy?         Yes       No If yes, which?        Personal        Business       Date Filed: ______________ Status: _______________

________________________________________                          ________________________________________                           ____________________________
Signature (Required)                                              Title (Required)                                                   Date (Required)

Do you currently finance any of your computer purchases through flooring or leasing programs?                Yes       No If yes, through what company?


Finance Company Name, Address, Telephone #                                              Dealer #                                                Contact Name

Finance Company Name, Address, Telephone #                                              Dealer #                                                Contact Name

Would you like information on either of the above programs?            Floor Planning      Leasing

Will any of your purchases be for export?         Yes       No    If yes, what percentage? ______________%
To what countries will you be exporting? _____________________________________________________________________________________________
Exporters must complete and submit the Exporter Questionnaire with this application. Exporters must also read the Informed Exporter
Information. Both of these documents can be found at http://www.ingrammicro.com/visitor/potentialreseller/resellapexport.pdf.
In the event you intend to purchase product to be exported by Ingram to your customer overseas, a separate International Fulfillment Agreement
(IFA) will be required. Contact Ingram Micro Sales for more information once your account is established.

             IN ORDER NOT TO DELAY YOUR ORDERING ABILITY, PLEASE MAKE SURE YOU HAVE PROVIDED ALL INFORMATION REQUESTED.
             ACCOUNTS THAT ARE INACTIVE FOR A 12 MONTH PERIOD WILL BE DELETED.

This application and agreement is submitted by applicant to Ingram Micro Inc. (Ingram Micro), a Delaware corporation, to obtain trade credit. Ingram Micro reserves the
right to decline credit to applicant and, in the event credit is extended to applicant, change or revoke applicant’s credit limit on the basis of changes in Ingram Micro’s
credit policies or applicant’s financial condition and/or payment record. All product sales by Ingram Micro to applicant will be subject to Ingram Micro’s standard Sales
Terms and Conditions as published on Ingram Micro’s website at www.ingrammicro.com at the time of sale. Any variance from those terms and conditions will be
effective only if agreed to in writing by Ingram Micro prior to the time of sale. Customer acknowledges and agrees that Ingram may send customer marketing and
business communications from time to time via various means, including e-mail.
Customer agrees to make payment in full to Ingram Micro for all amounts due according to Ingram Micro invoice(s). Customer also agrees to pay Ingram Micro, as
interest, an amount equal to 1 ½% per month, or the maximum provided by law (whichever is less) for invoice amounts that are past due. Should customer default in
any such payment(s), Ingram Micro shall have the right, without notice to customer, to declare all invoice amounts due and payable. In the event Ingram Micro should
commence any action or actions, or otherwise seek to enforce this agreement against customer, customer agrees to pay reasonable attorney(s) fees, court costs, and
other expenses incurred by Ingram Micro, whether or not suit is filed. This agreement is strictly confidential and is not transferable or assignable without prior written
consent of Ingram Micro. Customer agrees that any change in liability for any debts incurred to Ingram Micro due to a change in customer’s form of business, shall not
be effective as to Ingram Micro, until Ingram Micro receives actual notice of the change by certified mail. This application and agreement shall be construed, interpreted,
and enforced under and in accordance with the internal laws of the State of California, excluding its conflicts or choice of law rule or principles which might refer to the
law of another jurisdiction. Venue shall be in Orange County, California, or Erie County, New York, as determined by Ingram Micro.

                                                                      SIGNATURE SECTION
     Applicant hereby agrees to the foregoing and authorizes the release of credit and banking information to Ingram Micro by the references
     listed on this application. The following must be completed in order to have an account established with Ingram Micro:

     ________________________________________________________                           ___________________________________________________________
     Owner/Partner/Corporate Officer Name – Please Print (Required)                     Title (Required)

     _______________________________________________________                            As of this ____________ day of ____________________, 20_______
     Owner/Partner/Corporate Officer Signature (Required)                               (Required


CREDAP09.doc                                                                         2/20/03                                                                Page 3 of 8
                         RESELLER PROFILE

To better understand the special needs of your company, please answer the following questions.
 1. What is your company’s Internet address? www._______________________________________________________________________________

 2. How many years experience in the IT industry does the principal/owner of your company possess? ___________________________________

 3. Which category best describes your company’s main business focus?
      Alternate Consumer Channels             Direct Marketer                          Manufacturer                    Telecommunications
      Computer Superstore                     Distributor                              Mass Merchant                   VAR/Systems Consultant
      Consumer Electronics                    Educational Retailer                     OEM                             Warehouse Club
      Corporate Reseller                      Exporter                                 Office Products Store           Other ____________________
      Dealer                                  Internet Service Provider                Software Only

 4. If you are a VAR, which of the following best describes your company’s reseller activities? (Check one)
        Application VAR                            Interconnect VAR                     Systems Integrator             Other ____________________
        Contractor                                 Network Integrator/Technical VAR     Telephone Company

 5. Which category best describes your company’s ownership affiliation? (Check one)
      Affiliated with Franchise Group         Member of Franchise Group
      Independent Reseller                    Owner-Operated Chain Location

 6. On average, which of the following best describes your company’s total monthly computer purchases through all sources? (Check one)
      Less than $ 3,000                          $ 25,000 -- $ 49,999                $150,000 -- $249,999      $1,000,000 or more
      $ 3,000 -- $ 4,999                         $ 50,000 -- $ 74,999                $250,000 -- $499,999      Unavailable
      $ 5,000 -- $ 9,999                         $ 75,000 -- $ 99,999                $500,000 -- $749,999
      $10,000 -- $24,999                         $100,000 -- $149,999                $750,000 -- $999,999

 7. How often do you plan on purchasing from Ingram Micro? (Check one)
      Never, Account is for Pricing & Availability Only One Time Only                  Daily              Weekly               Monthly

 8. Please list all IT industry suppliers from which you currently purchase.

    ________________________________________________________________________________________________________________________

    ________________________________________________________________________________________________________________________

 9. Which of the following manufacturers do you have authorized reseller agreements with, if any? (Please check all that apply & list
    authorization number)
       3Com                #______________________________                  IBM                       #______________________________
       Apple               #______________________________                  Microsoft Academic        #______________________________
       Cisco Premier       #______________________________                  Microsoft Great Plains    #______________________________
       Citrix              #______________________________                  Palm                      #______________________________
       Compaq              #______________________________                  Sony Vaio and/or Clie     #______________________________
       Handspring Treo     #______________________________                  Wyse                      #______________________________
       HP                  #______________________________                  Other                     Vendor______________#__________

10. Do you build your own clones?       Yes      No If yes, on average how many systems do you build per month? ________________________

11. What are the main vertical markets (end-users) on which your company focuses, if any? (Check main verticals & indicate proprietary
    software)
       Accounting          Y N                   Financial Svcs. Y N                 None                     Y N
       CAD/CAM             Y N                   Government      Y N                 Printing/Publishing      Y N
       Computer Telephony Y N                    Health Care     Y N                 Remote Access/Mobile     Y N
       Construction        Y N                   Insurance       Y N                 Retail/P.O.S.            Y N
       Data Warehousing    Y N                   Internet        Y N                 Sales Automation         Y N
       Digital Video       Y N                   Legal           Y N                 Wholesale Distribution   Y N
       Document Imaging Y N                      Manufacturing Y N                   Video Teleconferencing   Y N
       Education           Y N
12. What percentage of your sales is to the following markets? (Total should equal 100%)
      Education           ____________%           Government     ____________%        Small/Medium Size Business (1-500 employees) ________%
      Fortune 1000        ____________%           Home Users     ____________%        Other _________________________________ ________%
13. How many people does your company employ? (Check one)            1-5        6-10           11-20           21-50        51-100           101+
14. What were your company’s total gross sales last year? (Check one)
      Less than $500,000                        $1,000,000 -- $4,999,999               $10,000,000 -- $24,999,999              Unavailable
      $500,000 – $999,999                       $5,000,000 -- $9,999,999               $25,000,000 or more
CREDAP09.doc                                                    2/20/03                                                                  Page 4 of 8
                                   IMPORTANT TAX INFORMATION

                                                     Resale Tax

 Ingram Micro’s position in the industry is as a distributor/wholesaler.

 To establish and maintain your account, we will require that you provide us with a Resale Certificate valid in the
 state where you are located, and that you update your certificate on a periodic basis in accordance with state
 laws and/or Ingram Micro policy. Our Resale Tax Department will notify you by mail when an updated certificate
 is required. Failure to provide an updated certificate may result in delayed shipments and/or the closure of your
 account. Orders that are drop-shipped may be subject to sales tax if a Resale Tax Certificate from the reseller
 for the ship-to location is not on file. The Resale Certificate must include:
  1.   Legal business name
  2.   Business trade name(s); DBA
  3.   Business address and phone number
  4.   Type of business as registered with your state
  5.   General description of business
  6.   State sales registration number of each state in which you are licensed for resale
  7.   Signature of owner or officer signing application
  8.   Name and title of person signing certificate
  9.   Date certificate is signed
 Ingram Micro has special sales tax requirements for shipments to the following states:
 California                   Sales tax will be applied to all shipments to the State of California unless a valid
                              California Resale Certificate is provided. The sales tax rates in California vary by
                              county. If you have any questions, please contact your Sales Representative or the
                              Resale Tax Department prior to requesting Ingram Micro ship to California on your
                              behalf.

 Illinois                     If you are not registered in the State of Illinois, additional documentation is required if
                              you ask us to ship product into the State. The Resale Tax Department will contact
                              you via mail to request additional documentation if you ask us to ship to Illinois on
                              your behalf.

 Massachusetts                Sales tax will be applied to all shipments to the State of Massachusetts unless a valid
                              Massachusetts Resale Certificate is provided. The sales tax rate in Massachusetts
                              is currently 5%. If you have any questions, please contact your Sales
                              Representative or the Resale Tax Department prior to requesting Ingram Micro ship
                              to Massachusetts on your behalf.

 New York                     If you are not registered in the State of New York, additional documentation is
                              required if you ask us to ship product into the State. The Resale Tax Department will
                              contact you via mail to request additional documentation if you ask us to ship to New
                              York on your behalf.

If a state in which you are registered for resale does not accept the attached Uniform Sales & Use Tax Certificate –
Multijurisdiction, please call our New Accounts Department at (800) 456-8000, ext. 41 to obtain the appropriate
form.

                                        Washington Gross Receipts Tax
 Washington                   All shipments into the State of Washington will be subject to a Washington Gross
                              Receipts Tax Fee.



CREDAP09.doc                                           2/20/2003                                                Page 5 of 8
                                    UNIFORM SALES & USE TAX CERTIFICATE – MULTIJURISDICTION

The below-listed states have indicated that this form of certificate is acceptable, subject to notes on page 5. The issuer and the recipient have the
responsibility of determining the proper use of this certificate under applicable laws in each state, as these may change from time to time.

Issued to Seller:     INGRAM MICRO INC.                                                                                       Account Number
Address:              1759 Wehrle Drive                                                                                     (For Office Use Only)
                      Williamsville, NY 14221

I certify that:
Name of Firm:         __________________________________________________                        DBA Name: __________________________________________
                      (Required)                                                                         (Required if using DBA name)

Is engaged as a registered:
(Required -- Please check all that apply)
    Lessor (See Notes)          Manufacturer            Retailer
    Seller (California          Wholesaler              Other ____________________________________


Street Address:       _____________________________________________ City, State, & Zip: _________________________________________________
                      (Required)                                                        (Required)

and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale,
resale, ingredients, or components of a new product or service to be resold, leased, or rented in the normal course of business. We are in the business of
wholesaling, retailing, manufacturing, leasing (renting) the following:

Description of business (Required): ________________________________________________________________________________________________
General description of tangible property or taxable services to be purchased from the seller: Computer hardware, software, and/or related items

You are required to complete the following for the state you are located in unless it is not listed or a state specific form is required as outlined below.

                         State Registration,                                     State Registration,                                      State Registration,
                        Seller’s Permit, or ID                                  Seller’s Permit, or ID                                   Seller’s Permit, or ID
State                   Number of Purchaser             State                   Number of Purchaser              State                   Number of Purchaser

Alabama 2                                               Louisiana            state specific form required*       Ohio
Arizona 22                                              Maine 9                                                  Oklahoma 16
Arkansas                                                Maryland 10                                              Pennsylvania         state specific form required*
California 3                                            Massachusetts        state specific form required*      Rhode Island 17
Colorado 1                                              Michigan 11                                              South Carolina
Connecticut 4                                           Minnesota 12                                             South Dakota 18
Dist. of Columbia 5                                     Mississippi                                              Tennessee
Florida               state specific form required*     Missouri 13                                              Texas 19
Georgia 6                                               Nebraska 14                                              Utah
Hawaii 1, 7                                             Nevada                                                   Vermont
Idaho                                                   New Jersey                                               Virginia             state specific form required*
Illinois 1, 8                                           New Mexico           state specific form required*      Washington 20
Indiana               state specific form required*     New York             state specific form required*      West Virginia         state specific form required*
Iowa                                                    North Carolina 25                                        Wisconsin 21
Kansas                                                  North Dakota                                             Wyoming              state specific form required*
Kentucky 24

I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or Use Tax, we will pay
the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be a part of each
order, which we may hereafter give to you, unless otherwise specified, and shall be valid until cancelled by us in writing or revoked by the city or state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.
Authorized Signature (Required):           ___________________________________________________ (Owner, partner, or corporate officer)


Title (Required):                          ___________        _________________________ Date (Required): __________________________

*State specific forms may be downloaded from our website www.ingrammicro.com, with the following exceptions: for a Florida DR-13 form, please contact
the Florida Department of Revenue at 941-361-6001; for a New Mexico form, please contact the New Mexico Taxation and Revenue Department at
505-841-6200. The following states do not require a resale certificate, but we do require page 6 of the application to be completed, with the
exception of the tax number, to serve as documentation that product purchased from Ingram Micro is for resale: Alaska, Delaware, Montana, New
Hampshire, & Oregon. If you have any questions, contact the New Accounts Department at 1-800-456-8000, ext. 41.

 CREDAP09.doc                                                                2/20/2003                                                                  Page 6 of 8
                             CREDIT CARD AUTHORIZATION FORM
Your application will not be processed until this form is fully completed and received by
Ingram Micro. Credit card is the only method of payment accepted for the $100 fee.


                              PLEASE PRINT ALL INFORMATION CLEARLY
    Company Name:

    Address:
                                                         (Billing address as listed on credit card statement)

    City, State, Zip:

    Phone Number:

    Fax Number:


    Credit Card:          Visa       MasterCard            Discover (We DO NOT accept American Express.)

    Expiration Date: (MM/YYYY)

    Credit Card Number:

    Name of Bank Issuing Credit Card:

    Issuing Bank’s Toll Free Number:

    I hereby authorize Ingram Micro Inc. to debit my credit card for the application fee of
    $100 as agreed. I acknowledge this transaction is for account set-up purposes only.
    Please note: As of October 28, 2002, all reseller applications submitted to Ingram Micro will be subject to a refundable
    application fee of $100 if the application is approved. This fee will be refunded after one hundred twenty (120)
    calendar days to new customers whose accounts show net sales of $1,500 or more in billed product during the first
    sixty (60) calendar days following the opening of the account.



    Signature:

    Card Holder’s Name as it Appears on Card:
                                                                          (Please Print)

  Please Note: The cardholder must be one of the owners/officers named on the reseller application.
   This authorization will be used upon approval of your reseller application. Once approved, the
   application fee of $100 will be applied to the credit card. Please note that the credit card
   information will be kept confidential, and the signature will be kept as your authorization for
   Ingram Micro, Inc. to debit the amount on the credit card. For your reference, a Purchase Order
   # of “NAF” will be used on this invoice.
CREDAP09.doc                                               2/20/2003                                                   Page 7 of 8
           Use this cover sheet to return your information to Ingram Micro

                         FAX TRANSMITTAL COVER PAGE
               PLEASE DELIVER TO A NEW ACCOUNTS REPRESENTATIVE




   To: Ingram Micro New Accounts Department
   Phone Number: (716) 633-3600
   Fax to: (716) 616-1600

   From:
   Company Name
   Main Contact
   Phone Number
   Fax Number

   Or by mail to:           Ingram Micro Inc.
                            New Accounts
                            1759 Wehrle Drive
                            Williamsville, NY 14221


   Checklist: Must be completed before application will be processed.
                                                                                            Please
                                     Requirements                                          Check-Off
   Fully completed, dated, & signed Reseller Application (Pages 2 & 3)

   eCommerce User Administrator information (Page 1)
   Completed and signed Uniform Sales & Use Tax Certificate – Multijurisdiction for each
   state in which you are registered (Page 6)
   Fully completed Reseller Profile (Page 4)

   Credit Card Authorization Form (Page 7)


CREDAP09.doc                                        2/20/2003                                          Page 8 of 8

								
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