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