National Technology Services, Inc.
15 Redstone Ridge     Voorhees NJ 08043
Phone: (856) 809-1900    Fax: (856) 753-7978
VAR/OEM APPLICATION
(to be completed and returned along with credit application)
COMPANY NAME									Date:___________________
	DBA:
Date Established:____________________________					Annual	Sales:	______________________
Number of	Sales Locations:_________			Number of Sales Reps:_____________
Your Marketing Area				Local:				% of Business:____________%
(Please check)				Regional:				% of Business:____________%
				National:				% of Business:____________%
				International:				% of Business:____________%
Product Lines:								TOTAL:	100%
Personal Hand Held Data						Portable Printer Brands:
Collection Devices Brands (if any):
Software:						Software:
Marketing Information: (vertical market sales)
	Primary:
	Secondary:
	Other:
	Customer Profile (please check):
	Small Business				% of Sales		%
	Corporate				% of Sales		%
	Education				% of Sales		%
	Government				% of Sales		%
	Retail - "no value"				% of Sales		%
	Other				% of Sales		%
					TOTAL	100%
How do you market your products(I.e., phone, advertising)?
Terms:  I hereby agree to abide by the terms set forth by National Technology Services (NTS) in the VAR Program
Description.  I further agree to pay any and all attorney fees incurred by NTS in collecting past due balances.
I certify that the information provided in this application is accurate to the best of my knowledge and I fully understand that
false information provided to NTS is grounds for termination of the VAR/OEM Agreement.
Date:______________________				By:
				Print Name:
				Title: