Affordable Web Hosting - Reseller Application

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OzHosting - Reseller Application

Before starting the application, ensure the applicant has read the OzHosting.com Reseller Agreement here

Applicant Details
Company Name:*		ABN:*
Trading Name:*		Years in Business:*
What type of organisation are you?*
Key Business Contacts
Principal Name*		Principal Email*
Principal Phone*		Sales Manager/Lead Email
Sales Manager/Lead Name		Marketing Manager/Lead Email
Marketing Manager/Lead Name		Operations Manager/Lead Email
Operations Manager/Lead Name		Operations Manager/Lead Phone
Sales Manager/Lead Phone		Marketing Manager/Lead Phone
Other Name		Other Email
Other Phone
Geographic Coverage & Contact Details
Postal Address*		Postal Postcode*
Postal State*		Postal Suburb*
Business Address*		Business Postcode*
State*		Business Suburb*
	Postal Address same as business
Overall Company Industry & Segment Focus Area
	Small Business = 0 - 20 employees Medium Business = 21 - 50 employees Mid Market = 51 - 250 employees Enterprise
Segment Focus Area
Total sales employees in the company
Total Sales & Technical employees in company		Total technical employees in the company
Approximate services you will sell each month
Products
Domain Names
Hosted Exchange
Shared Hosting		Hosted SharePoint
Cold Fusion Hosting		Virtual Private Servers

*Required