First Name *
Last Name *
Email Address *
Company Name *
Country *
United States
Canada
Antigua and Barbuda
Argentina
Aruba
Bahamas
Barbados
Belize
Bolivia, Plurinational State of
Brazil
Cayman Islands
Chile
Colombia
Costa Rica
Cuba
Dominica
Dominican Republic
Ecuador
El Salvador
French Guiana
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Jamaica
Martinique
Mexico
Nicaragua
Panama
Paraguay
Peru
Puerto Rico
Saint Barthélemy
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Suriname
Trinidad and Tobago
Turks and Caicos Islands
Uruguay
Venezuela, Bolivarian Republic of
Virgin Islands, British
State *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State *
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nunavut
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
State *
How would you best describe your company’s relationship with Sharp NEC Display Solutions? *
Alliance Technology Partner: My company sells complimentary solutions to Sharp or NEC product
Consultant: My company is a consulting firm
Distributor: my company sells to resellers
Consumer/end user: My company purchases Sharp or NEC product for final use
Media: My company is a media publication, agency or PR firm
OEM: My company integrates other technologies into Sharp or NEC product (touch)
Reseller: My company sells to end user customers
Other: (non of the above)
What is your Customer Type? *
Reseller
Other
What is your Customer Type? *
Architect
Other
What is your Customer Type? *
Digital Cinema Reseller
Other
What is your Customer Type? *
Direct End Customer
Rental and Staging
Other
What is your Customer Type? *
Reseller
Other
What is your Customer Type? *
Digital Cinema Reseller
Independent Servicers
Integrator
Rental and Staging
Reseller
What is your Customer Type? *
Independent Servicers
Other
Street Address
City
Zip/Postal Code:
Sales Contact: *
Visit Date *
Nature of Visit *
Yes, I would like to receive information from Sharp NEC Display Solutions and its affiliates related to their services, events and special offers, by email and/or mail.
No, I do not wish to receive any communication from Sharp/NEC.
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