e3 Certified Distributor Partner Application form

Please fill out this form if you wish to become a Certified Distributor Partner for flat panels. If you would like to become a Certified Installation Centre, please fill out the Certified Installation Centre Application Form.



Company details



Company address



Primary contact



Technical contact



Sales contact



Company facts



Business Mission




Which SATCOM Product lines do you resell?




Sales of conventional satcom solutions


Expected purchase of Kymeta solutions




Which distributor(s) do you use for sourcing SATCOM products?


When did your primary distributor last visit your company?





Do you resell airtime?



When did you last receive technical/product training?





Territory covered by your company





Equipment installation




Maritime vessels worked on


How does your business split?




What Added Value Services do you provide with your satellite services?





What type of partner do you want to become?




What do you know about selling Kymeta flat panels solutions?




What appeals to you about selling Kymeta flat panel solutions?





Purchasing reference



Before sending, please make sure all required fields are filled in


* required