Lexmark Partner Application Form

We're glad you are interested in becoming a Partner!

Please fill out the application form so we can learn more about you.

* = Required

Your contact information

Please fill in the following information about where you are located and how you may be contacted.

Phone number format: Do not include spaces or dashes
Review the accuracy of the email address to ensure successful communication from Lexmark.

Distributor Relationship

Please fill in the following information about your distributor contacts.

Separate each additional name with a comma.

Reseller information

Please fill in the following information about your business.

Reseller business name(s)

Separate each additional name with a comma.

Reseller business address

Reseller contact information

Phone number format: Do not include spaces or dashes
URL format: http://www.yourcompany.com

Reseller business certifications

Tax number/VAT format: Do not include spaces or dashes.
D-U-N-S number format: Do not include spaces or dashes.

* Resale Tax Certificate

File must be a PDF, DOC, DOCX, JPG, JPEG, PNG and not larger than 4MB.  

Additional tax documentation (optional)

File must be a PDF, DOC, DOCX, JPG, JPEG, PNG and not larger than 4MB.  

Reseller operational details

Primary focus of business
Separate each additional name with a comma.
Separate each additional name with a comma.
Have you previously sold Lexmark products?
Do you sell Lexmark competitor products?
Lexmark competitors would include Brother, Epson, HP, Xerox, Ricoh, Kyocera, etc.

Reseller financial details

What is the total annual revenue of your business?
What percentage of your total business makes up Printers / Multi-Function Printers?
Out of your Print business, how much is in printer hardware?
Out of your Print business, how much is in supplies / toner?
Out of your Print business, how much is in Managed Print Services (MPS)?
How much of your Print business is made up of Lexmark products and services?