Customer registration Form

First name:--------------------------------------------------------------------------------------------------------------

Last Name: -------------------------------------------------------------------------------------------------------------

Email:--------------------------------------------------------------------------------------------------------------------

Phone numbers:--------------------------------------------------------------------------------------------------------

Business address:-----------------------------------------------------------------------------------------------------

State:---------------------------------------------------------------------------------------------------------------------

Country:------------------------------------------------------------------------------------------------------------------

Company name:--------------------------------------------------------------------------------------------------------

Date:---------------------------------------------------------------------------------------------------------------------

Account type customer   -------reseller-------------Distributor------------Channel partner ------------	

Customer registration Form

First name:-------------------------------------------------------------------------------------------------------------

Last Name: -------------------------------------------------------------------------------------------------------------

Email:--------------------------------------------------------------------------------------------------------------------

Phone numbers:--------------------------------------------------------------------------------------------------------

Business address:-----------------------------------------------------------------------------------------------------

State:---------------------------------------------------------------------------------------------------------------------

Country:------------------------------------------------------------------------------------------------------------------

Company name:-------------------------------------------------------------------------------------------------------

Date:---------------------------------------------------------------------------------------------------------------------

Account type customer   ----reseller---------Distributor---------Channel partner ----------