Prism Pointe Technologies™

Partner Capability Questionaire

*** Marks required Fields

***Company Name:
***Address:
***City:
State:	Zip:
***Country:

***Phone #:
Cell #:
Fax:
***Email:

***Primary POC:		Phone:
Secondary POC:		Phone:
Cell/Pager:		Website Address:
Dunn & Bradstreet #:		Number of Field Technicians:
SSN#/Federal Tax ID#:
Normal Work Hours:		After Hours Available?
Help Desk? If Yes, Hours of Operation?
How did you hear about PPT?
***Areas of Coverage		***Are you a member of any other local, regional or national service network? If so, please list below:

***Place a Check next to all Certifications currently held:

BenQ

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Bose

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Boston Acoustics

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Coby

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Denon

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Element

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Epson

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

GPX

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Hitachi

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

JVC

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Magnavox

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Mitsubishi

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Onkyo

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Optoma

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Panasonic

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Phillips

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Pioneer

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Polaroid

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Polk

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Prima by Alux

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

RCA

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Samsung

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Sharp

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Sony

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Sylvania

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Syntax Olevia

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Toshiba

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Viewsonic

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Vizio

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Zenith

		CRT
		LCD
		Plasma
		Projection and whole component Acc.

Other

Explain: