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Partners

Partner Application Form

Join the Billion Partner Program today! Billion's Authorized Partners are allowed to access marketing materials as well as up-to-date information on products and services. Please fill out the application form below as completely as possible. We will contact you via email to advise whether or not your application is qualified.

For those precious buyers who are considering to distribute or resell Billion's products are also welcome. Please let us know your preference by filling out the form, we will contact you as soon as we receive your application.

Items designated with a * are required.

Account Information

Username *
Password *
Confirm Password *
E-mail Address *
Confirm E-mail Address *

Please create your user password with 6 to 8 characters. The characters: !#$()*+-./:;<=>?@[\]~`^{}|\"' are not allowed.
A valid e-mail address is required. It is used to activate your account.

General Information

Company Name *

Company Address

City *

Province/State

Zip/Postal Code

Country *

Phone Number

(country code + area code + phone number)

Fax Number

(country code + area code + fax number)

Company Website URL*

Number of company employees *

Business Type*

Vertical Market Emphasis* :

Distribution - Resellers and Business Partners
Commercial - End-users
Commercial - Small to Medium Business
Commercial - Enterprise
Education -Schools
Government - National
Government - State & Local

First Contact Person*

(Who is responsible for receiving ID/Password and other partner information.)

Name :
(ex. Mr./ Ms. + Full Name)

Job Title :

E-mail :

Other contact person 1:

Name :
(ex. Mr./ Ms. + Full Name)

Job Title :

E-mail :

Please fill in correct E-mail with small letter
(ex: marketing@billion.com)

Other contact person 2:

Name :
(ex. Mr./ Ms. + Full Name)

Job Title :

E-mail :

Please fill in correct E-mail with small letter
(ex: marketing@billion.com)

How do you know about Billion *

	Billion global website (www.billion.com)
	Billion E-invitation Letter
	Advertisement, please indicate the media name
	From a Billion's authorized distributor, please indicate the details of the distributor:
	Company name
	Contact person
	E-mail
	From a Billion's sales representative, please indicate the details:
	Full Name
	E-mail

Preferences (Please select one option) *

	1. We have signed up the distributorship agreement with Billion, please register us in Billion's partner program.
	2. We have reselled Billion's products as indicated below. Please register us in Billion's partner program. Dual-WAN 3G/ADSL2+ Router Series Wired/Wireless ADSL2+ Router Series VoIP Router Series VDSL2 Modem / Router Series Home Networking ADSL Router Series SHDSL/SHDSL.bis Bridge / Router Series iBusiness Security Gateway with IPSec VPN for SMB iBusiness Security Gateway with SSL/IPSec VPN for SMB BiGuard SSL VPN Gigabit SME Appliance Series ISDN Products Others, please indicate the details
	3. We are interested in selling Billion's products as indicated below, please contact us. Dual-WAN 3G/ADSL2+ Router Series Wired/Wireless ADSL2+ Router Series VoIP Router Series VDSL2 Modem / Router Series Home Networking ADSL Router Series SHDSL/SHDSL.bis Bridge / Router Series iBusiness Security Gateway with IPSec VPN for SMB iBusiness Security Gateway with SSL/IPSec VPN for SMB BiGuard SSL VPN Gigabit SME Appliance Series ISDN Products Others, please indicate the details

Other inquiry or reguest
Would you like above all contact persons listed to receive e-mailers regarding Billion's latest information? *
Yes No

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