Application | Fusemachines Reseller Program

Step 1 of 3

Email Verification

Step 2 of 3

Contact Information

Step 3 of 3

Reseller Information

Fusemachines Reseller Application Form

Thank you for your interest in becoming a Fusemachines Reseller. Please read these instructions carefully to help expedite the application process.

Email Verification

A company email address required to start your application to the Fusemachines Reseller Program or to be added to your company's existing account. The following formats cannot be accepted:

Public domain email address (such as Gmail, Hotmail, etc.)
Group mailboxes (such as [email protected], [email protected])
Aliased email address

You cannot register if you:

work for a direct Fusemachines' competitor.
are a Fusemachines' employee.

Email Address*

Confirm Email Address *

Contact Information

Please fill in the following information about where you are located and how you may be contacted.

First Name*

Last Name*

Job Title*

Country*

Phone Number*

Phone number format: Do not include spaces or dashes.

Email*

Reseller Information

Please fill in the following information about your business

Legal Business Name*

Primary DBA (Doing Business As) Name (optional)

Business Type*

Business Website (optional)

Number of Employees*

Annual Revenue (optional)

Number of Customers*

Less than 25

25-100

101-500

501-1000

1001-5000

5000+

Reseller Address

Address Line 1*

Address Line 2 (Optional)

Country*

City*

State/Province*

ZIP/Postal Code*

Reseller Contact Information

Contact Name*

Contact Number*