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BodyViz Reseller Application Form
Please tell us about your organization and how you anticipate working with BodyViz.
First and Last Name
Legal Business Name
How long have you been in business?
How did you hear about us?
Description of business
Number of employees
Number of customers
Number of sales people
Do you have other partnerships with overlapping or competing products to BodyViz. If so, who?
Market Segment (Who do you sell to?)
Secondary (High Schools)
Under Graduate (Colleges/Universities)
Post Graduate (Medical / Veterinary Schools or Clinics)
Commercial offerings (What do you sell?)
Audio Visual equipment
Medical Simulation equipment