LAINOS INTERNATIONAL  LIMITED
SOFTWARE RE-SELLER \ AUTHORIZED SALES AGENT APPLICATION FORM
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This document is to signify your interest and have it evaluated. Together with successful candidates, we shall re-examine the details, come up with and mutually sign a formal agreement.
Please fill, sign and fax (or scan & e-mail) to us. We shall respond immediately.

*Full Name:
*Organization:
*Position/Title:
Post Office Address:
*Street Address:

*City:				*State:			
*Country:			Zip Code:
*E-mail:				Website:		
Telephone:			Fax:

Company Registration Number:
Issuing Authority:
Number of Years of Experience in software marketing:

Banker:
Referee Name & Address:

*List our software products that can you market most:

Which geographical Region do you intend to focus on:
*Altogether, what is the minimum number of units you project to sell per year per product:

*Should we package the product (produce CD with leaflet in Box) and pay you commission of 20% per copy sold:

*Will you package the product (produce CD with leaflet in Box) and pay us royalty of 45% per copy:

 *Are you an OEM who will pre-install on computers (and pay us a flat royalty of 35% per copy):

*Give us a summary of your marketing plan for our products (use an extra page if necessary):

Comments:

*Signature:				
*Date:

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*  -These fields must be filled and are mandatory for favourable processing of your application.
Website: www.lainosint.com E-mail: info@lainosint.com  Fax: (1)248-869-6523