Company Name *
Company DBA *
Company Website *
What is your company’s annual gross revenue? *
Year Business Established *
First Name *
Last Name *
Title *
Address *
City *
State *
Principal Phone *
Email *
Primary Distributor of Choice * Tech DataSynnexCranelIngram MicroNew Wave
Second Element of Choice * Tech DataSynnexCranelIngram MicroNew Wave
Account # (If Available)
How many Sales Reps does your company have? *
How many are dedicated to document capture/management software or hardware sales? *
How many sales engineers and support technicians does your company have? *
Do you focus on a particular vertical market for scanner sales? If so, which?
What other brand scanners do you sell?
What document management/capture software do you sell?
By clicking, I agree to the program benefits, eligibility, programs and restrictions as stated in the AmbirVAR Program Details for the calendar year as posted on www.ambir.com/ambirvar. Acceptance into the AmbirVAR program is at the sole discretion of Ambir Technology Inc.
