Reseller Application

Please complete the online application. Required fields are indicated by an
asterisk*. By submitting application you acknowledge you have read and agreed to
the terms and conditions of the Authorized Dealer Agreement.
Your application will be reviewed and submitted for approval by our dealer program.

Authorized Dealer Application

DEALER*
NAME (if differs from above)
EMAIL*
EMAIL* (please re-enter)
PHONE*
COMPANY
URL (if business is online)
ADDRESS1*
ADDRESS2
CITY*
STATE/PROVINCE*
ZIP CODE*
COUNTRY*
Where do you plan to focus your marketing efforts?

How do you plan on marketing Bavisoft products?


By submitting application I acknowledge I have read and agreed to the terms and
conditions set forth in the Authorized Dealer Agreement.