RDC Software - Reseller Account Request

RDC Software - Reseller Application

Your request will be processed within one business day of receipt.

Fields marked Required must be completed before submitting your request.

Reseller Account Details

Name		Required
Company		Required
Address 1		Required
Address 2
City		Required
State		US citizens only
Country		Required
Zip/Postal Code		Required
Phone Number		Required
Fax Number
E-mail Address		Required
	A copy of this form is mailed to this address

Web Page		Required
	http://www.YourDomain.xxx/AnyDirectories/WebPage.html URL of the HTML page where you will be advertising our products.