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Simply complete this form so we can register your company as a CRMA Member. You will start receiving all sorts of marketing and sales information to help your business. (It is FREE to become a CRMA member. You only pay for the marketing and business services that you purchase.)

Looking for immediate help? Ask to speak to one of our Business Consultants. We will explore how we can help you reach your goals. Initial marketing or sales consultation to review your needs is FREE.

Membership does have real benefits!

	Yes, I would like to become a CRMA member Only Fully completed forms will be processed.Please make a selection.
First Name:	A value is required. Initial
Last Name:	A value is required.
Company Name:	A value is required.
Street Address:	A value is required.
City:	A value is required. State/Province: A value is required.
Postal/Zip Code:	A value is required.
Country:	A value is required.
Business Phone:	A value is required.Invalid format. Ext.
Fax:
Web Site Address:
e-mail:	A value is required.Invalid format.

Please answer the following questions
Which best describes the type of business at this location?

Value Added Reseller
Computer Products Retailer (Storefront)
Systems Integrator/House
Software Retailer
Mass Merchandiser/Superstore
Internet Reseller
Mail-Order Reseller
Office Products Retailer(incl. Superstores)
Consultant Other Computer Retailer(please specify)

Your Target Customers

Small Business % of total
Medium-Sized Business % of total
Large Business % of total
Consumer % of total
Education % of total
Government % of total
Other (please specify) % of total

Tell us about your location
Type of Location:
Storefront
Corporate Office
Corporate Office with Storefront
Number of Locations for your company:

Do you provide Service? Yes No

Which best describes your job title?

Pres., Chrmn., Owner, VP, Dir., Gen., Mgr.
Purchasing Dir/Mgr./Spvsr. and Buyers
Branch/Store/Regional/District/Area Mgr.
Dept./Oprns./Service/Techn/Proj. Mgr., Assoc. and other Mgrs.
Sales/Mktg./Acct./Mgr.
Systems Spvsr/Integrator, Customer Serv. Spvsr./Mgr.
Chief/Proj./Dsgn/Syst/Applctns Eng., and other Engineering Titles
Product/Prod. Devpmt./Merchandising Mgr./Spvsr/Spclist
Sales/Mktg./Personnel
Consultant
Other (please specify)

What is your gross annual sales volume?
Under $500K
$500K to $2 million
Between $2 million and $5 million
Between $5 million and $15 million
Between $16 million and $100 million
Over $100 million

FOR AUDIT PURPOSES:

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Please give us the city you live in.
A value is required.
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Please answer the following questions Which best describes the type of business at this location?

Your Target Customers

Please answer the following questions
Which best describes the type of business at this location?