Partnerships:

SkyTel Agent Program - Application

SkyTel Business Agent Application / Profile
* Fields are Required.

 Date: (MM/DD/YYYY)

COMPANY INFORMATION
* Company Name:
* President:
* Sales:
* Marketing:
* Other:
Year of Incorporation:
Number of Employees:
Annual Revenues - YTD:
Annual Revenues - Last Year:
* DUN AND BRADSTREET #

*If individual proprietorship or partnership and do not have a DUN AND BRADSTREET #, please provide Social Security numbers of partners and authorization for personal credit investigation.

Social Security #
Social Security #

I authorize a personal credit investigation. Yes No

* General Overview of Company:
   
* CONTACT INFORMATION
* Primary Contact:
* Address:
* City:
* State:
* Zip:
* Contact Phone:
* Fax:
* Email:
   
* PRIMARY BUSINESS: (Check all that apply)
Paging/Cellular Accessory Sales
Pager Hardware Sales
Pager Service Sales
Cellular Hardware Sales
Cellular Service Sales
Prepaid Sales (Paging/Cellular/LD)
Integrator/Developer/Consultant. Specializing in:
Value Added Reseller. For what product(s):
General Communications Solutions
Other. If other, please state 
 

General Overview of Products and Services offered by Company:
   
* TELECOMMUNICATIONS PRODUCTS YOU REPRESENT: (Check all that apply)
Traditional 1Way, FLEX, ReFLEX, etc.
Broadband PCS
Analog Cellular
WAP Enabled Mobile Devices
Palm Messaging Platforms
General Communications Products (Telephone Systems, LAN Systems, etc.)
Other. If other, please state 
None
* CURRENT DISTRIBUTION: (Check all that apply)
Direct Mail
Retail/Store Front. Number of Stores:
Telemarketing/Telesales. Size of Call Center:
Catalog. Catalog preferences:
Other. If other, please state 
* MARKET(S) SERVED: (Check all that apply)

Local/Metropolitan Area. Please define area and products you provide to this market if not already stated above.

Statewide Area. Please define area and products you provide to prospects requiring statewide service.

Regional Area. Please define area and products you provide to this market if not already state above.

Nationwide. Please define product(s) you provide to prospects requiring nationwide service.

* We're interested in the following SkyTel service categories: (Check all that apply)
All SkyTel Products and Services
Traditional Paging (SkyPager, SkyWord)
Advanced Messaging