Become an Authorized Provider Form

Become an Authorized Provider Form
In order to better assist you, please fill-out the information on the form below and a Sales Manager will make contact with you shortly. Thank you for your interest in Inter-Tel Products ; Services.
*Required Field
*Contact Name:
Company Name:
*Address Line 1:
Address Line 2:
*City:
*State/Province:
*Postal Code:
*Phone:
Fax:
*E-mail:
Region Your Company covers:
Products Currently Selling:
*How many people are in your company:
*How long have you been in business:
What is your company's website address:
Product Line(s) Interested In:	Axxess EncoreCX and/or Encore
Please Contact me......	Immediately Within one week