Reseller Application

Below is the application for becoming a BayTech products dealer/reseller. Please fill out all the information as accurately and completely as possible. This application is designed to be filled out on the web and submitted directly from this page, as opposed to printing it out and faxing it in. Use the TAB key and the SHIFT+TAB keys to move between fields, hitting ENTER will submit the form in most browsers.

Thank you.

Company Information
Primary Market Focus
(check all that apply)
Tell us more about your Company
Which best describes your type of business?
Billing Address
Mailing Address
Product Interest
(check all that apply)