Fox PartnerNet Registration Form

Fox Electronics Partners Registration Form

This form enables you to apply for registration as an authorized Fox Partner. As a Fox Partner you will be able to log into the PartnerNet area, and access proprietary data concerning Fox Electronics' wide range of frequency control products.

** Note: Both this form and Non-Disclosure Agreement **
** must be completed before a password can be issued! **

Names of Required fields are shown in Bold ..if the information is not available,please enter: n/a

In order to qualify, we ask you to take the following five steps:

Step 1 - Download, read, sign and Fax or mail in a signed copy of the Non-Disclosure Agreement.

Step 2 - Then provide the following personal information:

First Name:

Last Name:

Middle Initial:

Mother's Maiden Name:

Company:

Street Address:

Address (cont.)

City:

State/Province:

Zip/Postal Code:

Country:

Work Phone:

FAX:

E-mail: (Confirmation Address)

3. Please describe your relationship with Fox Electronics:

Authorized Fox Distributor
Fox Representative
Other

4. Click the Submit Form button after supplying the above information.

5. After your signed Non-Disclosure agreement has been received, your Fox Champion will receive and provide you with confirmation of your status as an authorized Fox Partner, together with your user name and password.

Please be patient: processing the form may take a few moments.

First Name:
Last Name:
Middle Initial:
Mother's Maiden Name:
Company:
Street Address:
Address (cont.)
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:	(Confirmation Address)

Copyright © 2004 [Fox Electronics]. All rights reserved. Revised: February 27, 2004

Copyright © 2004 [Fox Electronics].
All rights reserved.
Revised: February 27, 2004