Reseller Application

All fields must be filled in for complete processing
if information is not available put "N/A"

NOTE: If the there is RED "R" in front of the field then that field is REQUIRED

If you want to send us a simple note, please fill our "Contact Us" form.

Company Name : R
Your Name: R
Mail to Address: R
Zip Code:
Ship to Address: R
if same, Please put SAME
Zip Code:
Telephone Number: R
with country and city code
Fax Number: R
with country and city code

Contact Person/s with Title and Position:
Total Number of Total Employees:
Number of Salespeople:  
Number of Servicemen:  
Number of Install People:

Shop Rate per Hour $   Field Rate per Hour $
Area or Territory Covered: R

What are your Company's annual sales:

What kind of test-service equipment do you use:

What type of clients does your company have:

What have you sold them over the past 2 years:

What frequencies have been allocated in your country for rural telephony:

Please Mark all areas of interest (check all that apply)

Point-to-Point Wireless Telecommunications

PTEL  1-Line Phonelink®
RMOD Radio modems (data only) 19.2/64 Kbps
DTEL 3-Line Phonelink® (2+1, voice and data) - 19.2/64 kbps
QTEL 4-Line Phonelink® - 64 Kbps
MTEL 8-Line Phonelink® - 64 Kbps
ETEL 30/60 Line Phonelink® (E1 Microwave)

Point-to-Multipoint Wireless Telecommunications

System35 - Wireless PABX
RET - Roadside Emergency Telephone / Call Box Systems
E1RT TDMA, E1 Rural Telephone - 2mb
DRRT TDMA-TDD, E1 Rural Telephone

Other Equipment Available From Telemobile

Two-way radio systems (handhelds, mobiles, base, repeaters and telemetry)


Have you sold Telemobile products in the past: Yes (Date)   No 
Have you serviced Yes (Date)

Please tell us the product lines now selling and/or servicing :

Will your company purchase and maintain a demonstration system for in-store use:
Yes   No

Will your company send your technicians and sales personnel to be trained at our factory:
Yes   No

Please tell us any other information about your company history & market you think may be useful including your website:

Email address: R

Also if you are already working with someone at Telemobile please let us know so we can speed up your request.

Page Last Updated February 3, 2004

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Phone: +1(310)538-5100; Fax: +1(310)532-8526

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