Software Reseller Application

Please provide the following details to begin the process of becoming a Believable Magic Software Reseller.

After submitting this form, Believable Magic will generate and deliver via email a Software Reseller Agreement to be signed electronically.

Primary Contact Name *

First

Last

This person will receive communications regarding administrative aspects of managing the Software Reseller relationship, processes and notifications.

Primary Contact Email *

Reseller Organization Legal Name *

The legal name of the company that will appear on the Software Reseller Agreement (e.g. "ABC Widgets, Inc.")

Predictive Index Partner Confirmation *

• The organization described above is a certified partner of The Predictive Index

Reseller Organization Incorporating Jurisdiction *

The state, province, country or other governing jurisdiction under which the organization is formed, registered or recognized (e.g. "Texas, USA" or "Denmark")

Reseller Organization Location Address *

The physical mailing address describing the organization's primary location of business for the purpose of the agreement.

Agreement Signer Name *

The complete name of the person who will sign the agreement electronically.

Agreement Signer Position Title *

The position title of the person signing the agreement (e.g. "Vice President", or "Managing Member")

Agreement Signer Email *

The email address to which the agreement should be delivered for an electronic signature (may be the same as or different from the Primary Contact Email)

Comment or Message

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