The MenuDrive Reseller Program enables qualified resellers to develop a successful business selling and supporting MenuDrive. We always want to know more about our resellers and ask that you take time to explain your business. As part of our recruitment process, we require all potential resellers to complete this form. Please keep in mind that this is not a reseller agreement. We intend to use this form as a way to evaluate a potential relationship between both of us.

Company Information

*Company Name:


*Address 1:                                  Address 2:
            

*City:                                           *State:                         *Zipcode:
                 

*Phone Number:                           Fax Number:
            

Website:                                      *Year Established:
            

*Are you a: Corporation      LLC.      Partnership
                 Subsidiary/Branch      Sole Proprietorship

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Principal Contact Information

*Principal Contact:                        *Title
            

*Phone:                                        *Email Address:
            

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Background Information (answer all the following)

*1. Describe the products and services that you sell now:


*2. Describe your principal market (customer size, industry, etc.):


*3. Have you ever sold or do you currently sell to Restaurants:
If Yes, describe the products and services you sold or sell:


*4. Describe your geographic territory focus (cities, states) for MenuDrive:


*Number of Employees:

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Thursday, October 14th at 3 PM EST

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Have Questions?
Feel free to contact us anytime at 877.787.MENU (ext. 1) or by email at sales@menudrive.com.