Fujitsu Distributor Reseller Application Form Thank you for your interest in becoming an authorized Fujitsu Distributor Reseller. As an Authorized Distributor Reseller, you will be able to benefit from the following: Global brand strength Best-in-class enterprise server, storage and mobile product lines World-class technical support Award-winning customer service Tiered reseller program with a limited number of members Deal Registration Program Ongoing communication about products, marketing programs, and event To become a reseller, please fill out the application form below. Read the contract terms and conditions of the Fujitsu Computer Systems Distributor Reseller Agreement. Once finished, please click on the "Submit" button. You will receive a confirmation of your application within one business day, followed by another email stating your addition to the program and your Authorized Fujitsu Distributor Reseller Login. If you would like more information on the Fujitsu Distributor Reseller Program, please contact us at 1-800-FUJITSU.

Customer Please Complete: * Indicates Required Information
Choose a track: * Mobile Notebook and Tablet PCs and accessories SMB Designed for storage and server resellers whose goals do not include providing full turnkey solutions, and does not require highly integrated professional services capabilities. Enterprise Designed for resellers with a proven expertise in developing and delivering complete storage and server solutions. These partners have personnel who are able to sell, design and implement high-end solutions and professional services.
Company (Legal) Name: *	DBA Name (Doing Business As, if any):
Address: *	City: *
State: *	Zip: *
Country: *	Main Telephone Number: *
Toll-Free Number:	Fax:
Company Web URL: *	DUNS Number: *
Primary Contact Name: *	Title: *
Primary Contact Phone: *	Primary Contact Email Address: *
Tech Data Distributor Number	Seneca Distributor Number
Synnex Distributor Number
Note: This primary contact will become the on-line super user of Fujitsu Computer Systems' (FCS) reseller portal and will receive all FCS e-mail notifications.
Company Information
1. What other brands are sold by your company that has similar products? Mobile Brands: (please separate brands by commas) Server Brands: (please separate brands by commas) Storage Brands: (please separate brands by commas) (For Mobile Resellers, please skip to question #9)
2. Of the storage systems sold by your company each year, what percentage of transactions fall within the capacities listed below: < 50 Terabytes < 250 Terabytes ≥ 250 Terabytes (needs to add up to 100%)
3. What are the number of Storage units and/or Servers you sell per year?
4. What is the number of your Storage focused technical team members?
5. Are you currently certified and qualified by another OEM to sell Blades? If yes, by whom?
6. Are currently certified in the area of Server Virtualization? If so, by whom?
7. Are you a certified partner of the following? AMD Intel
8. What Storage ISV Partners do you work with?
9. What other reseller programs are you a member of?
10. Which best describes and distinguishes your company's business from your competitors?
11. Do you have a vertical market focus? Healthcare Education Government Manufacturing Other
12. Do you have satellite offices aside from your headquarters? If so, please list locations:
13. Would you like to be added to our Fujitsu Reseller Locator? Yes No
14. For your current opportunity, whom should FCS contact in your organization?
15. How did you find out about Fujitsu? Distributor Fujitsu Sales Representative Fujitsu Website Google MSN Yahoo Direct Mail Magazine Other
* Is a Required Field