Company Information
* = mandatory fields
*
Company Name
*
Address
*
City
*
Country
*
State/Province
*
Zip/Postal Code
*
Primary Contact
*
Title
*
Phone Number
*
Fax Number
*
Email Address
*
List your ProofPlus target markets.
*
Is your company TransScan certified?
Yes
No
If yes, date TransScan certification was completed?
If no, you must complete the
TransScan Certification
as a prerequisite to ProofPlus certification.
ProofPlus Dedicated Staffing
Please provide the names of your TransScan dedicated Sales and Technical Support Staff who will be participating in ProofPlus certification. A minimum of one each is required.
*
Salesperson #1
*
Phone Number
*
Fax Number
*
Email Address
Salesperson #2:
Phone Number
Fax Number
Email Address
*
Technical Support #1
*
Daytime Phone Number
*
After-hours Phone Number
*
Fax Number
*
Email Address
Technical Support #2
Daytime Phone Number
After-hours Phone
Fax Number
Email Address
Application Submission
I understand the qualifications and commitments for participation.
*
Authorized Name
*
Title
Once your application is reviewed by our approval committee, we will notify you of your approval status and, if approved, send appropriate information to proceed. If you have any questions, you may contact us at
certification_SD@ea.epson.com
.
Your application information will be held in confidence.
To access the Epson Envision Partner Program Website now
click here
.
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