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Reseller Registration Form
Please fill out the following reseller form in order to become Avira sales partner.
Please register
here
to purchase our products as a partner in the online shop.
Registration Form
Company Details
*
Company name
*
Street
*
ZIPcode
*
City
*
Country
Choose one ...
Afganistan
ÅLAND ISLANDS
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
COCOS (KEELING) ISLANDS
Colombia
Comoros
Congo (Brazzaville)
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Isl. and Mcdonald Isl
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Monserrat
Montenegro
Morocco
Mozambique
Myanmar (ex-Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Phillipines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Serbia
Reunion
Romania
Russia
Rwanda
S. Georgia and S. Sandwich Isl.
SAINT BARTHÉLEMY
Saint Helena
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
Samoa, American
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia & Montenegro (ex-Yugoslavia)
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon, Islands
Somalia
South Africa
Spain
Sri Lanka (ex-Ceilan)
St. Kitts and Nevis
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor Leste (West)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U. S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
*
Email
*
Telephone
*
Fax
*
District court
Commercial register number
VAT-ID
(only relevant for corporate
customers within the EU)
Management board
*
Name of the CEO / Proprietor
*
Email
Telephone with extension
Fax
Contact person security software
*
Name
*
Email
Telephone with extension
Fax
*
How can your type of industry be described?
Specialized trade
Computer retailer
Distribution
IT Consulting
Research / Development
Mail order business
Producer
Association / Organization / Institute
Other
Statement of the annual turnover
Annual turnover in €
*
Annual turnover in security software in €
Number of employees
*
Total number of employees
*
Number of employees sales
*
Which competitor products do you sell?
McAfee
Panda
Sophos
Symantec
Trendmicro
Bitdefender
Others
*
In which target markets is your company interested in?
Private user
Trading
Public Administration
Educational institutions
Services
Retail
Financial services company
Industry
Handcraft
Welfare service
Organizations / Associations
Others
*
A copy of your trading license or your company's entry in the commercial register
Attention:
it is not possible to register without a certificate of incorporation.
You can send us this also via fax: +49 (0) 7542-525 10
(Maximum size of the file: 2 MB)
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