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LANCOM partner registration
Apply to LANCOM Partner Program
Company name
: *
Address
: *
ZIP code
: *
City
: *
Country
: *
Argentina
Australia
Austria
Barbados
Belgium
Bolivia
Bosnia-Herzegovina
Brazil
Bulgaria
Canada
Chile
China
Croatia
Cyprus
Czech Republic
Denmark
Egypt
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Great Britain
Greece
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Japan
Korea
Kuwait
Latvia
Lebanon
Libyan
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malaysia
Malta
Mexico
Monaco
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Peru
Philippines
Poland
Portugal
Puerto Rico
Republic of Belarus
Romania
Russia
Saudi Arabia
Serbia and Montenegro
Singapore
Slovak Republic
Slovenia
South Africa
Spain
Sweden
Swiss Confederation
Syrian Arab Republic
Taiwan, Republic of China
Thailand
The People's Democratic Republic of Algeria
Tunisia
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States of America
xx
Phone
: *
Fax
:
Email
: *
Website
: *
Tax id
: *
Contact (1)
Contact type
:
Main contact
Salutation
: *
Mr.
Ms.
Title
:
First name
: *
Last name
: *
Job description
:
Board of Directors
Director
Employee
General Manager
Head of department
Management Board
Senior sales manager
Technical manager
Phone
: *
E-Mail
: *
Are you interested in our Newsletter?
*
No
Yes
E-Mail for Newsletter
: *
Please give us further Information for a detailed profile of your company activities:
I am: *
Consultant
Distributor
DTAG
End-user
Holding/Admin.
ISP / Carrier
Large Account
Mailorder
OEM
Other
Private customer
Retailer
System Integrator
SystemHouse/VAR
Whole Sale Dealer
Industry focus
*
Agency, Advertisement, Marketing & PR
Agriculture, forestry and fishing, gardening
Banking
Business consultants, accounting, law
Chemical and petrochemical industry
Chemical/Pharmaceutical
Chemical/Pharmaceutical
Commerce
Construction trade/industry
Crafts and trades
Education & training
Electrical engineering, precision engineering and optics
Energy and supply
Financial services
Food and beverages
Health & social services
Hotels, restaurants & catering
Insurance
Leisure, travel, tourism, culture & sport
Manufacturing
Mechanical engineering and construction
Medical / Health
Metal industry
OEM
Other industries
Other services
Other
Personnel services
Pharmaceutical industry
Printing, paper, packaging industry
Public services & associations
Real estate
Retail
Science & research
Telecom
Textiles, clothing & leather goods
Transportation & logistics
Vehicle construction & component suppliers
Wholesale
Wireless ISP
Wood and furniture industry
Your message
:
I agree to check samples of my revenues at the Distribution Partner named above.
**
 
* Mandatory
** Approval required
 
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