>
Microviet Login
Primary links
Home
Company
About Us
Corporate Fact Sheet
Events Calendar
Careers
News
Technology Partners
Products
ipphones
Grandstream basic
Grandstream Enterprises
Multimedia Video Phone
IPPBX
3CXIPPBX Phone System
Surveillance
IP Surveillance
Analog Surveillance
Digital Video Management System
Gateways
Analog Gateways
Grandstream Products
Quintum Products
Patton Gateways
Patton Analog Gateways
Patton Digital Gateways
Patton Gateway Routers
Multi Point T1/E1/PRI Enterprise VoIP Media Gateway
GSM/CDMA Gateways
Session Border Controller
Support
Product FAQ's
Grandstream
3CX
Firmware Downloads
Grandstream
Patton
Support Forums
Grandstream
3CX IPPBX Phone System
Case Studies
Blog
3CX IPPBX Phone System
Whitepapers
Grandstream
Grandstream Brouchure
Grandstream GXP GXV ppt
3CX End Customer
Digifort
Digifort Brouchure
Digifort Enterprise
Patton
Patton Data Communication
Patton Presentaion
Smart node Broucher
Hypermedia
HG 4000 3U VoIP GSM Gatway
HG 3000 6U VoIP GSM Gateway
E1/T1 PRI GSM Gateway
Solutions
Enterprise Solutions
Call Centre Solutions
Hospitality Solutions
Educational Solutions
Surveillance Solutions
Session Border Controller
Patton ESBC
Genband Session Border Controller
Services
Installation
Warranty Support
AMC
FTTH Services
Enquiry
General Enquiry
3CX Partner Registration
Contact Us
Customer Registration
FTTH Enquiry
Partner Registration
1
2
3
4
5
6
7
jQuery Slider Download by WOWSlider.com v1.7
Customer Registration
Submitted by admin on Sat, 03/17/2012 - 11:39
Enquiry
TO BE COMPLETED BY NEW PARTNER ONLY
General Information:
*
Partnership
Sole Proprietorship
Corporation
WEB / E-mail Address:
Country of Incorporation:
*
Number of Branches/Outlets:
*
Registered Business Name:
*
Business Address:
Nature of business:
Office Telephone:
Facsimile:
Billing Address (if different):
Shipping Address (If different) :
Name(s) of all Owners/Shareholders:
Name(s) of all Directors:
Name, title of person to contact for payment:
What will be your estimated yearly purchase from Microvillage? :
Credit line requested (in Rs.):
What credit term are you requesting? COD, 7 days, 14 days, 21 days or 30 days :
Name(s) of all related/affiliated companies:
Bank Information [Primary Banker(s)] :
Bank Name:
Branch:
Primary Supplier/s (Related industry, purchased during the last 12 months):
Name:
Credit amount provided:
Name:
Credit amount provided:
Documents/Financial statement required::
1) Your latest financial statement (Balance Sheet and Income Statement) must accompany this application if requesting for credit. If financials is unaudited, the owner/responsible officer must sign and date each financial statement.:
2) Copy of Business registration certificate showing full Company name & Names of directors and owners/shareholders. :
Declaration:
Any pending litigation against the company?:
No
Yes
Brief description :
Date of legal action taken :
Partner agrees to promptly inform Microvillage in writing of any changes to the information given in this Partner Application Form (especially changes in owners/shareholders, directors, and related/affiliated companies). partner agrees to make payment in :
I hereby certify that all products purchased from Microvillage Communications are for resale to end users (who purchase for internal use) in the countries as authorized by the manufacturer or publisher of the products only.:
Dated this:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2011
2012
2013
2014
2015
Signature & Name of Director/Owner & Co Stamp :