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BenQ B2B Deal Registration   Click here for Education Deal Registration

* Required
End User Contact Information

* End User Name:    
* End User State:  
End User Contact Person :    
* First Name:  
* Last Name:  
* Email Address:  
* Phone Number:  

  Opportunity Specifics
 
* BenQ Product Model Number:  
* Quantity:    
 
* Target Dealer Price:  
 
 
 

Accessories :  


*
Preferred Distributors:		  







 
* Notify Distributor about this deal? :    
  Need BenQ Sales Representative to contact me:    
  I have a Rep:    
*
Special Warranty Requirement: 		 
[notice our standard warranty is 1 year for deal]

Target End User Price: 		 
 
* Bid Close Date :    
* Bid Delivery Start Date:    
Total Months of Delivery:  
* Is the end user considering other brands?    
  Additional Comment:

  

  Dealer Information
     
*  Send e-mail acknowledgement to:  
[For multiple emails,separate emails with ' ; ' ]

* Reseller Business Name:  

  Reseller State:
*  Reseller Contact Person's First Name:    
* Last Name:    
* Email:    
* Phone Number:    
Fax Number:  
  Is this your first time registering a deal with BenQ?:  
 
Offer Technical Service: 		 
  Offer Installation Service:  
* I would like to receive:       
 
                   
 
   
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