Welcome to Elite-ID Electronic Systems Attendance Verification and Monitoring Technologies    
 
 
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Elite-ID US Agent Opportunity - APPLICATION FORM

  • Please answer as many of the questions as possible.
  • The time you spend now, may save a lot of lot of time later.
  • All applications and expressions of interest will be responded to in a timely manner.

Your personal and professional privacy will be respected at all times!

By completing and submitting this form you agree that any resulting discussions relating to Elite-ID products and their distribution in the United States (and/or elswhere in the world) will be kept confidential.

Required fields preceded with a red dot (•) MUST be completed. If you do not complete these fields Elite-ID will not be able to reply to your email.

  Contact Details:
Email Subject:
Modify only if required
   
Respondant Details
• Full Name:
• E-mail Address
   
Business PH:
Mobile PH:
Fax:
   
Basic Company and/or Business Details
Company Name:
Position / Title :
Web Site URL:
Company Address:
   
Country:
State
US or Canada:
State Other:

   
  About Your Business or Company ... (Please be as informative as possible):
 
Place a tick in each box below that applies to your business or company 		 
   We have an existing Client Base that may be potential Elite-ID customers  
   We have promotional and/or Marketing capabilities across the USA  
   We can provide basic IT, Elite-ID Installation and Set-up Services  
   We can provide Phone Support for Customer Assistance  
   We can provide On Site Customer Assistance (customer's premises)  
   We can provide Maintenance and Repair Facilities  
   We have Electronic Technical Workshop Facilities  
 
Select the option below that applies to your business or company 		 
  The Elite System would compliment our existing products and/or services  
or The Elite System would be sold separately (i.e. unrelated to existing products)  
     
  The Elite System appears to be ?  
  Excellent  
  Good  
  OK  
  I know of similar and/or better products
        Insert alternate product name/brand: 		 
  Don't really know  
     
  Our Company Is . . . ?  
  Very Interested  
  Interested  
  Only Curious at Present  
  Not Really Interested  
       

  Please Add Your Message or Comment:






 
 












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