After submitting your questionnaire, you will receive an instant Email Confirmation that your questionnaire has been received. All questionnaires will be reviewed and you will be notified within approximately 2 weeks regarding the outcome of our intial evaluation.

Salutation:

First Name:

Last Name:

Title:

Phone:

Fax:

Email Address:

Company:

Address:

City:

State:

Zip:

Website:

Year Company Established:

State of Incorporation:

No. of Employees:

Annual Sales:

Chairman's Name:

Structure:

Please describe corporate organization structure, including any "parent" companies, companies having more than 10% interest, and partnerships or names of principals:

Business Type

If Distributor, who are your top OEMs?

If Reseller, are you a recognized authorized reseller for the OEMs you represent?

Product Type:

Who are your top competitors?

Who would you consider your top complimentary OEMs?

What are your transactional integration capabilities for receiving POs and sending invoices?

Do you have a Partner Program?

If yes, what is the URL for more information:

Do you have GSA pricing?

What is the best method for reaching you?

How did you hear about World Wide Technology?

Have you ever been contacted by a WWT employee for a quote or product information?

If so, who is your WWT contact person?

Is there a current opportunity for WWT? Please describe.

Through what agency have you been certified?

Company Diversity Qualification* Status: 

Provide a list of three (3) current customers (including address, contact name, telephone number and products sold.