Old Reseller Application

Thank you for your interest in becoming a reseller with Qualstar. To apply, please fill out this form and a member of our team will reply within 2-3 business days.

Prospect Type

Prospect Source

First Name*

Last Name*

Title*

Email*

Phone*

Legal Business Name*

DBA (if applicable)

Federal Tax ID

Website

Business Address*

City*

State/Province/Region*

Zip Code/Postal Code*

Country*

What is your company's product focus?*

How do you promote your products?*

Which brands of tape storage products do you sell?*

How many years have you been in business?*

Which industries are your customers in?*

How much revenue can we expect from you annually?*