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Please take a few moments to respond to the questions below. Your answers will help us understand your business needs. You can expect to hear from a ValuCom Account Executive soon. .

 GENERAL INFORMATION
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  Last Name :
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  Address :
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  City :
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 CONTACT INFORMATION
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 ADDITIONAL INFORMATION
  Which of our Pre-paid products are you
  interested in selling?
    Personal Plans
    Business Plans
  How do you intend to distribute these
  products?
    Grocery/Convience Store
    Retail Store
    Colleges/Group associations
    Promotional
  What types of Telecom Products and/
  or services are you currently selling ?
   
  How Long have you been in the U.S.?
   
  What county(s) will you be
  distributing our products to?
   
  What county(s) will you be
  distributing our products from?
   
  What is the most convient way to
  contact you?
   
  How did you hear about ValuCom?
   
   
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