Highly Reliable Systems: Removable Disk Backup & Recovery


Reseller Application and Agreement

To apply to become a reseller of our products, please complete the following information:

Promotional Code:
Referral Source: *
Company Name: *
Billing Address: *
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Telephone: *
FAX:
Shipping Address: *
Enter 'Same' if shipping address is the same as the billing address.
City:
State/Province:
Zip/Postal Code:
Country:
Principal's Name: *
Must be authorized to bind company to our terms and conditions of this reseller agreement.
Principal's Email: *
Website URL:
Sales Person Contact: *
Sales Person Email: *
Sales Person Phone: *
A/P Contact: *
A/P Email: *
A/P Phone: *
Year Founded: *
Annual Sales: *
Primary Business: *
Number of Employees: *

Minimum Advertised Price (MAP) Agreement

As an approved reseller for Highly Reliable Systems (herein also referred to as “Manufacturer”) the undersigned agrees not to advertise the products below the Manufacturer’s Suggested Retail Price (MSRP), which will also be known as the Minimum Advertised Price (MAP). The MSRP is published in “The reseller price list” that is available at https://www.high-rely.com under the reseller login. Pricing is subject to change without notice and it is the reseller’s responsibility to update any advertised pricing to stay in compliance with this MAP policy.

This MAP agreement does not restrict the price at which the undersigned may sell a product. The intent of this agreement is only to limit publicly published or advertised prices below MSRP. This agreement applies to the authorized reseller’s advertised prices on the Internet, in newspapers, catalog, print, direct mail pieces, faxes, on radio, television etc. If a reseller’s existing customer base accesses a website using a private and assigned username and password, price quotes lower than MSRP are allowed.

If the undersigned advertises the Manufacturer’s products at prices below the MSRP, Highly Reliable Systems will be entitled to all of its rights and remedies available to it, including, without limitation, the right to permanently disqualify undersigned from the reseller program, along with the associated discounts and benefits.

* I certify that the above named Company is engaged as a registered reseller in the following states and cities:

City: * State/Province: *
City: State/Province:
City: State/Province:
City: State/Province:
City: State/Province:

and that any such purchases are for wholesale or resale and are to be resold, leased or rented in the normal course of business. I further certify the if any property or service so purchased tax free is used or consumer by the firm as to make it subject to a sales or use tax we will pay the tax directly to the proper taxing authority when state law so provides or inform the seller for added tax billing.

Attach one copy of a valid resale certificate if available (png, jpg, or pdf):

* Under penalties of perjury, I swear or affirm that the information on this agreement is true and correct as to every material matter.

* I agree to abide by the terms of the agreement if accepted as a Reseller.

Authorized Signature

Signatory's Full Name: *
Title: *
Signature: *

Attach an image (jpg, png, or pdf) of your signature here and type your Name followed by the word "AGREED" to constitute a binding electronic signature. For example "John Doe AGREED".
Date: * (MM/DD/YY)
Security Code: captcha


(Note: you must agree to all terms above by placing a check in the appropriate box).

Outside the US please read, sign, print, and return our international agreement in addition to the this reseller application.

*=required field