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MobileFlex for RMS Reseller Application

Please fill out the form below as completely as possible:

Contact Information

First Name:
Last Name:
Business Name:
Address 1:
Address 2:
City:
State/Providence:
Zip Code:
Country:
Phone Number:
Fax Number:
E-mail Address:
Website Address:
Number of Employees:
Number of Employees Dedicated to Selling MobileFlex:

Marketing and Sales Details
Please briefly describe your current product mix:
Annual Sales:
% Retail Systems:
% RMS (of total Retail Systems):

Please list your top three retail customers:

Please list the top two sales channels: (ex. sales reps., internet )

Geographic Focus:

Please list the geographic regions the company currently supports:

Marketing Plan:
Please briefly describe the marketing plan that will be used to sell MobileFlex:
Primary Mobile Terminal Manufacturer:
ex. Symbol, PSC
Preferred Distributor:


For more information please contact:

Sales: 877-640-4152 ext. 2

Sales: mobileflex@ptshome.com

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