1. Company Profile

Ship To (if different):

2. General Information

Tell us about your company:

Briefly describe your core business:

Which Rosetta Technologies' products/solutions are you interested in reselling?

Workgroup MICR Printer and Software Solutions
Production MICR Printers
IRD Printers and IRD Print Management Software

Please describe your company's current offerings
(solutions, products, and/or services):

Indicate the geographic territories or countries in which you do business.

Is your company a business partner/affiliate with any of the following?

Lexmark
IBM
HP
Troy
Xerox
Source Technologies
Ricoh
ACOM

Briefly describe your partnership history with any companies selected above.

3. Business Specifications

Does your company manufacture any products?

Yes
No

Please indicate the specific markets that your company targets.

List in detail the brands that your company currently represents (include hardware, software and professional services).

Please select the specific areas in which your company has experience:

Self-service solutions/applications
Banking/financial transaction solutions
Secure printing applications
Point of Sale applications
Printer Service Offerings

Use the space below to describe your experiences in detail from the areas selected above.

4. Business Capabilities and Resources

Does your company offer software integration capabilities for your solutions?
(Please be specific.)

Do you currently have a budget set for developing market opportunities for Rosetta/Ricoh products/solutions?

Do you plan on assigning a dedicated product manager responsible for Rosetta/Ricoh products/solutions?

Yes
No

Do you plan on assigning designated sales professionals responsible for Rosetta Technologies' accounts?

Yes
No

Do you plan on developing/implementing a sales training/education program for your Rosetta/Ricoh sales team?

Yes
No

5. Technical Support and Service Qualifications

Please provide information regarding previous integration projects (include details on project size and number of individuals involved).

What types of technical resources does your company provide to customers in terms of Product/Solutions Development and/or Quality Assurance? (Specific awards or certifications may also be listed here.)

Regarding self-service applications, is your company able to provide service and support for 24/7 up-time applications?

Please indicate in which of the following areas your company has technical strengths:

Network monitoring or related resources
Hardware servicing in the field
Service Level Agreements (SLAs)
Help desk customer support

For each area selected above, please provide information regarding your specific experience and service offerings.

6. Reseller Expectations and Requirements

What is your company's projected level of sales for Rosetta/Ricoh products/solutions? (Please be as specific as possible on your revenue goals/expectations.)

What type of training or training resources will your company need from Rosetta Technologies? (Please include resources for sales, support, service, and designated technical personnel.)

7. Additional Information

How did you hear about Rosetta Technologies?

Is there anything else you would like to share with us about your business?

8. Credit Application

In addition to your Reseller Application, if your company would like to apply for a line a credit with Rosetta Technologies, please click here for a PDF of the form and fax to 813-383-0248.

If you have any questions, please email Michael Castro at MCastro@RosettaTechnologies.com or phone directly at 1-800-937-4224 ext. 140.