|
Date:__/ __/____
|
To: Shah Net Technologies Pvt Ltd
28, Embassy Market B/h Sales India, Off Ashram
Road,
Ahmedabad-380 009, Phone: 6584786
We are interested in
becoming value added reseller of www.shahnetdomains.com.
We are glad to submit the information in
the following Reseller Registration Form:
|
Name
of the person /company ______________________________________
who wants to become reseller (Resellers Certificate
will be issued in this name) |
| Detail
Address: |
__________________________________________________ |
| |
__________________________________________________ |
|
| Contact
person:___________________________________________________ |
| Date
of Birth /Date of Incorporation:__________________________________
|
| Phone
No:________________________________________________________ |
| Fax
No:__________________________________________________________ |
| Email
Address: ____________________________________________________ |
| Postal
Address for Sending |
} |
___________________________________ |
| Commission
Cheques: |
} |
___________________________________ |
|
| A
Brief Bio-Data |
} |
___________________________________ |
| /Company
Profile: |
} |
___________________________________ |
|
|
Nature
of Present Activity:__________________________________________ |
|
How much web hosting business you estimate
you can get
|
| Value
(Amount in Rs per month):_____________________________________ |
| Or
|
| Number
of Customers per month:_____________________________________ |
|
_________________
Signature of Reseller
|