Authorized Reseller Application

Limelight Systems is currently accepting applications for distributorships throughout the country. If you are interested in becoming a reseller please complete the following form. Once we receive and review your application you will be contacted with further information.

Please provide the following business information:

           Company Name 
         Street Address 
        Address (cont.) 
                   City 
                  State 
               Zip Code 
                Country 
                  Phone 
                    FAX 
                 E-mail 
                Website

Please provide the following executive contact information:

             First Name 
              Last Name 
                  Title 
                  Phone 
                 E-mail

Please tell us a little about your business:

          Business Type  
           Organization 
      Years in Business 
        Total Employees

Are you interested becoming an authorized installation location?:

                    Yes 		No