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Application for Access Password
Contact Name:
Company Name:
Company Number:
Company Address:
Telephone Number:
Email Address:
Web Address:
Description/Type of Business:
Number of Years in Business:
Interested in which Partnership Type:
Support Partner
Package Partner
Service Partner
Foucndation Partner
Others
Level of Service that you propose to offer:
Please list short description and what level of service you anticipate offering to your clients for the above services:
Marketing
Filling of forms, Client training in the use of Oztell services etc.
1st Level Support
Collecting Money and processing of payments from clients
Other:
Projected Volume of Business:
Monthly value of Business: Please indicate value:
1st Month
$
3rd Month
$
6th Month
$
12th Month
$
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