Reseller application form

Fill out the form below to apply to become a Red Earth Software authorized reseller. You will be contacted via e-mail within 1-2 working days after submitting the form.

The fields marked with * are required.

Company information:

Company: *

Address: *

City: *

State: *

Zip/Post code:

Country: *

Phone number: *

Fax number: *

Website URL:

Sales contact person: *

Sales contact email address: *

Support contact person: *

Support contact email address: *

Are you a Microsoft Certified Partner? No Yes

Microsoft ID

Product information

Have you purchased any Red Earth Software products? No Yes

If so, please enter the registration key(s) here:

If you list any Red Earth Software products on your website, please enter the URL(s) here:

Which other products do you resell?

Why do you want to become a Policy Patrol reseller?

Comments: