Become a Vendor

If you are exploring Government Reseller options and are interested in partnering with immixGroup, please fill out a company profile form below. immixGroup will review your company profile and will contact you to discuss in greater detail, if we feel there could be a mutually beneficial partnership between our companies.

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Contact Information

* First Name:
* Last Name:
* Company:
* Job Title:
* Email Address:
* Phone (xxx-xxx-xxxx):
* Address:
Address 2:
* City:
* State:
Country:
* Zip code:

Company Information

* What is your primary business activity?

What is your company's total annual revenue?

What is your company's government sector annual revenue?

Do you have a local Washington DC office?

How many sales representatives in your company focus on selling to the government?

Has your company issued any "letters of supply"? Please select how many.

* How did you hear about immixGroup?

Please provide a brief description of your technology.