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EPSON ADVANTAGE
PARTNER PROGRAM

Enroll and reap the rewards and benefits from Epson's Premier Partner Program.

END USER REBATES & PROMOS

Take advantage of some great end user savings with the purchase of Epson products.

FIND A RESELLER

We can help you locate a certified reseller near you!

OTHER INFORMATION

Product Information
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EPSONTV CHANNEL

Epson WorkForce DS-860 & WorkForce DS-760 Document Scanner Product Overview

Click here to visit Epson's YouTube Channel, EpsonTV

Reseller Legal Name:
DBA Name:
Business Address:
City *
State/Province *
Country
Zip Code *

Primary Name:
Title:
Primary Phone:
Primary Email:

Executive Name:
Title:
Executive Phone:
Executive Email:

Have You Sold Epson Products?	Yes	No
If So, Which?

Do you sell on 3rd party marketplaces?	Yes	No
If So, Which?

Do you sell Epson competitor products?	Yes	No
If So, Which?

Which Class of Trade best describes your business (Check all that apply):
	Consumer Electronics & Applicances	Internet / Catalog		Photo Specialty
	VAR / Systems Integrator	Distributor		Managed Print Svcs
	Drug / Grocery	Office Supplies	Other: (describe below)
	Label Converter	OEM or Manufacturer

Target Markets / Markets Served (Check all that apply)
	Small/Medium Businesses	Consumer / Home	Government
	Large/Corporate Businesses	Education	Financial
	Healthcare	Restaurant / Hospitality	Label Conversion
	Industrial Manufacturing	Food Processing / Mfg	Life Sciences / Nutraceuticals
Other: (describe)

Please assign a percentage to each target market that you picked above:
	Small / Medium Businesses	Consumer / Home	Government
	Large / Corporate Businesses	Education	Financial
	Healthcare	Restaurant / Hospitality	Label Conversion
	Industrial Manufacturing	Food Processing / Mfg	Life Sciences / Nutraceuticals
	Other

Provide Revenue Projections for Epson products for the next 3 years
Year 1:		Year 2:		Year 3:

Describe your Sales and Service and Support Organization:
Outside Sales Reps on Staff:
Inside Sales Reps on Staff:
Tech Support on Staff:
On SIte Service Staff:
Other: (Please describe)

Number of Employees:
	Inside Sales
	Field Sales:

Primary Territory:
	# of Locations:
	% eCommerce:

Total Annual Revenue:
Epson Revenue: