OfficeID’s - Workstation Identification Solutions

Dealer Application

To apply for dealer pricing of our product line, please fill out completely the application form below and click on the 'Submit Application' button. Upon approval of your application we will email you your log-in name and password to access discounted pricing.

First Name:

Last Name:

Company:

Email Address:

Phone Number:

Fax Number:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

How long have you been in business?
1-5 yrs 5-10 yrs 10+ yrs

Accounts payable contact:

Desired payment method:
        30-day net invoice
    Corporate Credit Card
       American Express
       MasterCard
       Visa

Bank:

Trade references:

Company 1
Contact name
Phone
Product Purchased

Company 2
Contact name
Phone
Product Purchased

Company 3
Contact name
Phone
Product Purchased