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Sign Up for ePartners

Registration for your ePartners account is very easy. Simply complete the following details and submit your registration. Please note fields marked with * are mandatory. If you are experiencing any problems registering for your account, please contact us at epartners_sg@toshiba-asia.com
  Account Details

Member Details
User ID *
Please use your preferred email address as your
Member ID for your ePartners account. If you do
not have an email account, please create one at http://www.hotmail.com
 
 
Salutation *
Last Name *
First Name *
Gender *
Date Of Birth  
 
Job Title *
Job Function *
 
Residential Address *
Residential Country *
Residential State *
Residential City *
Residential Postal Code *
Either mobile number or Residential contact number should be mandatory *
Mobile Number
-
country
code
-
area
code
number
Residential Contact Number
-
country
code
-
area
code
number

 
  Business Details

Company Details
Company Name *
Company Address *
Company Country *
Company State *
Company City *
Company
Postal Code*
Company Contact Number *
-
country
code
-
area
code 		number
 
Company Fax Number
-
country
code
-
area
code 		number
Total number of outlets
Number of
employees
On average, how many Toshiba notebooks do you sell per month?

 
  Other Business Information
  (Please complete this section of the registration form if you are the owner of the company)

Business Classification *

shopToshiba
iShop
Wholesaler/Distributor
Mass Merchant
Corporate Dealers
System Integrator (SI)/Value Added Reseller (VAR)
Authorized Toshiba Resellers
Resellers

Select business segments that best describes your target market

Home
Small Office (1 - 9 employees)
Small Business (10 - 99 employees)
Medium Business (100 - 499 employees)
Large Business (500 - 999 employees)
Very Large Business (1000+ employees)
Education
Government

Notebook Sold % (Split By Brand)
Toshiba % Acer % Hewlett-Packard %
Fujitsu Simens % IBM/Lenovo % Sony %
Asus % Samsung % Others %

Please enter Total Notebook Revenue from last financial year       US$
What is your Toshiba Notebook Annual Revenue?
Current   US$ Planned Potential   US$
What is your Toshiba Options & Accessories Annual Revenue?
Current   US$ Planned Potential   US$
From time to time, we will send SMS update from the Program to you. Please check this box, if you don't want to receive SMS update from us.

I have read and accepted the Terms & Conditions governing to the Toshiba ePartners Program (When this link is clicked, it will open in a new pop-up window) *


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