Authorized Reseller Application

Becoming a partner starts here!

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Thank you for your interest in our Authorized Reseller program. You should receive a response from us within the next 72 hours.

Thank you for your interest in the PC-Doctor Authorized Reseller program. Complete the following form to apply to become a reseller.

All responses are kept confidential.

First Name

Last Name

Phone Number

Email Address

Company Name

Business Address

City

State/Province

Postal Code

Country

Website

When was your business established?

Month

Year

Describe the type of businesses you work with.

Will you actively promote our product?

What other types of diagnostic software do you sell?

Please provide any additional comments.