Swissphone Dealer Signup Information Form
 
Please fill in the following form and someone from our office will be in contact with you to process your request.

If you prefer to fax in your request you can download this form by clicking on the links below.
English PDF French PDF.
 
Business Info
       
Business Name: Year Business Established:
Type of Business Head Office:
Street Address: City:
Postal Code: Province:
Phone: Fax:
Other: Company Website:
       
       
Contact Info
       
Principal Contact:      
Name: Title:
Email: Phone Ext:
       
Secondary Contact:      
Name: Title:
Email: Phone Ext:
       
Outlining Your Geographical Region
       
Describe your   coverage area: 
   
       
Current Product Lines:
   
Pagers:
Two-Way Radio:
Other:
 
Current Annual Pager Sales by Type (Approx. Number of Pagers)
   
Tone and Voice:
Alpha Numeric:
   
Expected Swissphone Annual Sales:
   
Tone and Voice:
Alpha Numeric:
Number of Certified Electronic Technicians:
Number of sales staff: