GSA Agent Profile

Simply complete the form below and your information request will be sent to the 3Com Program Manager.

  * Denotes mandatory field.
First Name: *
Last Name: *
Company Name: *
Job Title: *
Address: *
City: *
Province/State: *
Zip Code: *
Telephone: *
E-mail: *
Country:  
Reseller GSA Schedule Number (if applicable):
Exp. date:
Reseller internal contact names,
email addresses, and phone numbers:
List of competitive products sold:
Government business opportunities:
If Other:
Geographies in which reseller has a direct presence:
Current reseller certifications and credentials (i.e. NBX):
Have you had a prior relationship with 3Com? Yes   No
When and Where?
Do you purchase equipment directly from 3Com? Yes   No
Do you purchase equipment from a 3Com distributor? Yes   No
If yes, which 3Com distributor do you prefer?
Miscellaneous comments/requests: