NETSTAR TECHNOLOGIES AUTHORIZED SALES AGENT APPLICATION

This is an application for NetStar Technologies’ Agency Program. The program is

designed to allow qualified agents to sell selected NetStar Technologies products,
services, and solutions and to receive a commission for those sales. Submission of an
application does not automatically qualify a vendor for the Agency Program.

Please complete the application in detail. You may attach additional information as
appropriate. Applicants are evaluated upon such criteria as financial history, portfolio of
services offered, client base, and a business plan. Authorized Sales Agents will be
required to sign a contract.

General Guidelines

• The company must have been established at least one year prior to the application
date.
• Interexchange carriers or resellers of AT&T, Broadwing Communications, Emeritus
Communications, Qwest Communications, SBC/Southwestern Bell Telephone,
Verizon, and Sprint Communications services are not eligible for the sales agency
program.
• Evidence of liability insurance for the company must be provided.
• Your company must be willing to invest the time and effort necessary to meet a
negotiated quota.
• The principals of your company must not have been employed by or acted as
representatives for another AT&T, Broadwing Communications, emeritus
Communications, Qwest Communications, SBC/Southwestern Bell Telephone,
Verizon, and Sprint Communications authorized agent during the past twelve months.

NetStar Technologies provides the Authorized Sales Agents pre and post sales support,
applications development, handbooks, and product training.

Authorized Sales Agents will be expected to do their own sales activities, order
preparation, implementation coordination, and ongoing customer management.

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 NetStarTechnologies Authorized Sales Agent Application

General Information Please attach organizational chart and resumes of principals.

Company Name Telephone Number Fax Number

Address City State Zip

Primary Contact Title E-mail

Secondary Contact Title E-mail

Year Company Founded____________ Legal Form of Ownership_________

Corporate Web Site ________________ Parent Company ________________
Current Branch Locations/Geography Served (State(s), Major Cities)

Financial Data Annual Sales

$ Network $ Equipment $ Network $ Equipment

Current Year (Estimated) (2001__) Prior Year (2000__)

% Total Annual Sales Within NetStar Technologies

Arkansas Kansas

Missouri Oklahoma

Texas
Has the company ever filed for bankruptcy?

Are there any judgments, suits or claims against the company?

Does the company qualify as a minority or women owned vendor? ___________________________________________________
Applications Orientation

❑ Internet ❑ Data ❑ Usage ❑ Video Voice

Expertise
❑ Systems Integration
❑ Local Area Networks
❑ Wide Area Networks
❑ Enterprise Networks
❑ Network Operations
❑ Network Management
❑ Network Security
❑ Supercomputing
❑ Voice Mail or IVR
❑ PBX or Key Systems
❑ CTI
❑ Electronic Commerce
❑ E-mail systems
❑ Office Automation
❑ Imaging
❑ Internetworking
❑ Intranetworking
❑ Internet Telephony
❑ Videoconferencing
❑ Cable and Wiring

Industry Specializations

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 ❑ Health Care ❑ Retail ❑ Utilities ❑ Telecommunications
❑ Banking/Financial ❑ Professional Services ❑ Legal ❑ Wholesale Distribution
❑ Education ❑ Federal Government ❑ Real Estate ❑ Travel Services
❑ State/Local Government ❑ Transportation ❑ Insurance ❑ Other
❑ Manufacturing

Installed Customer Base

Number of Customers Typical Size Customer
(Number of employees and revenue)

Product Lines Carried (Company and Product) (Please feel free to attach a list if applicable)
Internet Voice

Data

Other

Video

Long Distance and Local Carrier Product Lines Carried (Company and Service)

Agent/Distributor for AT&T ______, IXC ________?

Which Products/Services Are Most Important To Your Company?)

Employees

Number of Personnel by Location: Salespeople Customer Service Install/Maintenance

Headquarters

Location (City, State)

Location (City, State)

Average Tenure of Salespeople?

Total Employee Count Average Annual Sales Volume per Salesperson

ded

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ng provided to your customers (Please feel free to attach descriptions, promotional material, etc.)

______________________

nternal training program (sales, customer service, installation, etc.)

Maintenance (Please attach examples of maintenance contracts.)

testing capabilities:

dled by company employees?

maintenance policy.

ng Capabilities (Please provide examples you may have)

cess

on Facilities (Describe)

or NetStar Technologies Products and Services, Should You Be Selected (Attach additional pages, if necessary)

ea do you desire to sell NetStar Technologies products?

a previous NetStar Technologies Sales Agency application?

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 NetStar Products Please estimate the NetStar Technologies products you expect to sell over the next 12 months.
PRODUCT QUANTITY

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Business References

Bank Name Bank Name

Contact Name Contact Name

Telephone Number Telephone Number

Supplier Name Supplier Name

Contact Name Contact Name

Telephone Number Telephone Number

Customer Name Customer Name

Contact Name Contact Name

Telephone Number Telephone Number

Customer Name Trade Association Name

Contact Name Contact Name

Telephone Number Telephone Number

I/We hereby acknowledge that the information contained in this application is true and correct, and hereby authorize the release 
of any information which NetStar Technologies deems relevant pertaining to my/our credit and financial responsibilities.
Signature Date

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