Matrox Video Products Group: Licenses

Matrox Authorized Reseller Application

*denotes required fields

Corporate information

*Company *Telephone
*Address *E-mail
*City *Language
*Country *Website address
Postal/zip code    

Billing Address

  Billing information is the same as above address
Postal/zip code
*1. Sales contact *2. Technical support contact
Name Name
Position Position
Tel Tel
E-mail E-mail
*3. Demo contact *4. Purchasing contact
Name Name
Position Position
Tel Tel
E-mail E-mail
5. Financial contact 6. Marketing contact
Name Name
Position Position
Tel Tel
E-mail E-mail
*Number of employees
*Number of field sales people
Number of inside sales people
*Number of technical support people
*Number of demo artists
*Date of company establishment (yyyy/mm/dd)
Specify the dates of your financial year:
(i.e. April 1 - March 31)
*Number of offices/outlets
*Location of offices
*Do you have demo facilities?
Yes No

If yes, what are the sizes of the facilities?

*For which encoding products do you maintain a demo system?

Forecasted revenue

  Current year Next year
Company total:

Market information

Please indicate what percentage of your business is represented by each of the following markets:

Broadcast  % Government  %
House of Worship  % Education  %
Corporate  % Post production  %
Other Market   Other  %

Product line information

Please indicate the products that you sell.

  Manufacturer model Unit volume per month Estimated revenue
per year
Streaming Products
Recording Products
Lecture Capture Products

Thank you for your application. Please note that submitting this application does not grant you authorization.
A Matrox account representative will contact you to review the details of the program.

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