HP.com Business to Business

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Business to Business


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	Information Request Form - USA and Canada
* Indicates field is required

Email address*

First name*

Last name*

Title*

Company*

Address*

City*

State/Province

Country*

Zip Code*

Phone

Number of Employees*

1,000 - 5,000
5,000 - 10, 000
10,000 +

Company size
(Annual revenue $USD)*

$10M
$50M
$100M
$500M+

Are you a current HP customer?

yes no

If yes,

A) Who is your account rep.?

B) Are you a:

Major account
Global account
Government, education and

healthcare
Unsure

Small or medium size business?

Do you prefer to buy
direct from HP?

yes no

Are you a reseller?

yes no

May we call on you to discuss
our volume buying options?*

yes no

What type of engagement
are you interested in?*

	HP.com business to business hosted site
	HP.com business to business integration


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