Billion.com ::::: Powering Communications with Security

Billion --> Partner

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Company Name :

Type of Company Business

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Vertical Market Emphasis :

Distribution - Reseller or Business Partner	Commercial - End-users
Commercial - Small to Medium	Commercial - Enterprise
Education – Schools	Government - National
Government - State & Local

Contact Person 1:

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

Title1 : Mr. Mrs. Ms

Job Title1 :

E-mail 1 :

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

Contact Person 2:

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

Title2 : Mr. Mrs. Ms

Job Title2 :

E-mail2 :

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Contact Person 3:

Name3 : (ex. Mr./ Ms. + Full Name)

Title3 : Mr. Mrs. Ms

Job Title3 :

E-mail3 :

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Telephone :

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How do you know about Billion *
Billion Global Website (www.billion.com)
Billion E-invitation Letter (Computex Taipei 2007)
Advertisement, please indicate the media name
Others, please indicate the details

Do you want to be one of Billion's business partner and have the buying demand toward the Billion products?

Yes, I want to be one of Billion's business partner, the product series I'm interested in is as below		No
	iBusiness Security Gateway with IPSec VPN/ SSL VPN for SMB SHDSL/SHDSL.bis Bridge / Router VDSL2 Modem / Router VoIP ADSL2+ Router Home Networking ADSL Router (Powerline, HomePNA 3.0) Wired / Wireless ADSL2+ Router Wireless 3G ADSL2+ Router ISDN Products Others

Other inquiry or request

Have you ever contacted any representative in Billion?
yes, please specify his/her full name
no

Would you like above all contact persons listed to receive e-mailers regarding Billion's latest information?
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no