Reseller Application

Bold = Required

Italic = Optional

Reseller Fields

Business Name:

Number of Employees:

Bill To: same as shipping

First Name:

Last Name:

Email Address:

Phone Number:

Company:

Address:

Address 2:

City:

State/Province:

Other State/Province:

Zip/Postal Code:

Country:

Ship To: same as billing

First Name:

Last Name:

Email Address:

Phone Number:

Company:

Address:

Address 2:

City:

State/Province:

Other State/Province:

Zip/Postal Code:

Country:

Phone: 1-702-608-2960 | Fax: 1-702-728-5687
Copyright © DirectFix All rights reserved. All trademarks are property of their respective holders. DirectFix® is a Registered Trademark.
Switch to Mobile

Disclaimer: iPhone¨, iPod¨ and iPad¨ are trademarks of Apple, Inc. Androidª is a trademark of Google, Inc. Samsung Galaxy S* and Samsung Galaxy Note* are trademark of SAMSUNG Group and Samsung Electronics. All other trademarks are the property of their respective owners. AX Micro Solutions, Inc. and its products are in no way endorsed, sponsored, or affiliated with any of the above mentioned entities or subsidiaries thereof. The products offered on this website are NOT refurbished, offered or authorized by any of the entities mentioned above. AX Micro Solutions, Inc makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the listing or the information, products, services, or related graphics contained on the listing for any purpose. Any reliance you place on such information is therefore strictly at your own risk. We will not be held responsible for any misuse or misrepresentations of our products.

Shopping Cart Summary

Reseller Application

Reseller Application

Reseller Fields

Bill To: same as shipping

Ship To: same as billing

Customer Service

Help & More Info

Other Items

Shopping Cart Summary

Reseller Application

Reseller Application

Reseller Fields

Bill To: same as shipping

Ship To: same as billing

Customer Service

Help & More Info

Other Items

Newsletter