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Sales Enquiry Form

*Company Name :

Statement of Ownership :

Nature of Business :

*Type of Business :

*Contact Person Name:

*Contact Person Position:

*Country:

*Address:

*Telephone (DID):

*Email Address:

Website:

Major Product Lines/Brand:

*Brand of Hardware:

*Brand of Software:

*No. of Branches:

No. of Employees:

*No. of Sales Person:

Total Sales Turnover 2009:

*Are you currently a D-Link Partner?

Yes If Yes, which company do you purchase from:

Do you offer on-site customer support?

Yes No

Do you have a Retail Outlet?

Yes No

Interested Products

Wireless Networking	3G Mobile	Cable/DSL Modems
Cable/DSL Routers	Dial-up Modem	Switches
KVM Switches	Network Adapters	Video Conferencing
Voice & IP Communications	Wireless Media Players	Internet Cameras
Home Network Storage	Enterprise Network Storage	Print Servers
USB	Security	Powerline
Power over Ethernet

Additional Sales Enquiry

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Prices and specifications are subject to change without notice.

D-Link and the D-Link logo are trademarks or registered trademarks of D-Link Corporation or its subsidiaries in the United States or other countries. All other company or product names mentioned herein are trademarks or registered trademarks of their respective companies.