Third Lane Reseller Application

YES! I want to offer the best value in PBX technology to my customers – and I want it to be easy on me and my team. Please register my company as a reseller now.

Please complete all information. Thanks!

Contact info

First Name: *

Last Name: *

Company: *

Email: *

Title:

Phone: *

Website:

Address of primary office

Address 1:

Address 2:

City:

State: * select...(Non U.S.)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

Country: * select...AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Zaire)Cook IslandsCosta RicaCote d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFederated States of MicronesiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGaza Strip and West BankGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and Montenegro (Yugoslavia)SeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe GambiaThe Holy SeeTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUnited States Virgin IslandsUruguayUzbekistanVanuatuVenezuelaVietnamWestern SaharaYemenZambiaZimbabwe

To help us best serve you, please answer these questions

Please describe your company's core business: * select...Computer/Network Consultant (custom solutions and applications)Interconnect (telecom sales, service, installation)System Integrator (complex multi-vendor HW + SW installations)VAR (converged solution sales, service, installation)Service Provider (ISP, VoIP service, ITSP)Managed Services (system management for a monthly subscription)

How many technicians do you employ?: * select...12345-1011-1516-2021-2525+

How many sales people do you employ?: * select...12345-1011-1516-2021-2525+

How many PBX/phone systems do you install per month?: * select...12345-1011-1516-2021-2525+

What services do you provide?: * Network designLAN setupSystem installationProvisioning and hardware configurationOn-site technical serviceProduct trainingManaged services

(use the CTRL key to select all that apply)

Have you ever installed an Asterisk-based PBX system?: * select...YesNo

How did you hear about Thirdlane?: * select...Google (paid advertisement)Google (natural search result)YahooMSNOther Search EngineWord of MouthCustomer ReferenceIndustry PublicationPress ReleaseTrade ShowTrixboxVoIP SupplyVoIP service providerTelecom companyOther

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