First Name *
Last Name *
Email *
Company *
Country * United States Canada Mexico Antigua and Barbuda Argentina 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 Mauritania Nicaragua Panama Paraguay Peru Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago Uruguay Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, United States Albania Algeria Andorra Angola Armenia Australia Austria Azerbaijan Bahrain Belarus Belgium Benin Bosnia and Herzegovina Botswana Bulgaria Burkina Faso Burundi Cameroon Central African Republic Chad Congo Croatia Cyprus Czech Republic Côte D'ivoire Denmark Djibouti Egypt Eritrea Estonia Ethiopia Finland France Gabon Georgia Germany Ghana Greece Guinea Guinea-bissau Hungary Iceland India Iran, Islamic Republic of Iraq Ireland Israel Italy Japan Jordan Kazakhstan Kenya Kosovo Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macedonia, The Former Yugoslav Republic of Madagascar Malawi Mali Malta Mauritius Moldova, Republic of Montenegro Morocco Mozambique Namibia Netherlands Niger Nigeria Norway Oman Palestinian Territory, Occupied Poland Portugal Qatar Romania Russian Federation Rwanda Saudi Arabia Senegal Serbia Sierra Leone Singapore Slovakia Slovenia Somalia South Africa Spain Sudan Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic of Togo Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United Kingdom Uzbekistan Western Sahara Yemen Zaire Zambia Zimbabwe
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 * Select... Aguascalientes Baja California Baja California Sur Chihuahua Chiapas Campeche Coahuila Colima Durango Guerrero Guanajuato Hidalgo Jalisco Michoacán Mexico Morelos Ciudad de México Nayarit Nuevo León Oaxaca Puebla Quintana Roo Querétaro Sinaloa San Luis Potosí Sonora Tabasco Tlaxcala Tamaulipas Veracruz
State * Select... Barbuda Saint George Saint John Saint Mary Saint Paul Saint Peter Saint Philip Redonda
State * Select... Buenos Aires Córdoba Chaco Chubut Corrientes Catamarca Ciudad de Buenos Aires Entre Ríos Formosa Jujuy La Pampa La Rioja Misiones Mendoza Neuquén Río Negro Salta Santa Cruz Santiago del Estero Santa Fe San Juan San Luis Tierra del Fuego Tucumán
State * Select... Acklins Bimini Black Point Berry Islands Central Abaco Central Eleuthera Cat Island Crooked Island Central Andros East Grand Bahama Exuma City of Freeport Grand Cay Green Turtle Cay Harbour Island Hope Town Inagua Long Island Mangrove Cay Mayaguana Moore's Island North Abaco North Eleuthera North Andros New Providence Rum Cay Ragged Island South Abaco South Eleuthera South Andros San Salvador Spanish Wells West Grand Bahama
State * Select... Saint Andrew Christ Church Saint George Saint James Saint John Saint Joseph Saint Lucy Saint Michael Saint Peter Saint Philip Saint Thomas
State * Select... Belize Cayo Corozal Orange Walk Stann Creek Toledo
State * Select... El Beni Cochabamba Chuquisaca La Paz Oruro Pando Potosí Santa Cruz Tarija
State * Select... Acre Alagoas Amazonas Amapá Bahia Ceará Distrito Federal Espírito Santo Goiás Maranhão Minas Gerais Mato Grosso do Sul Mato Grosso Pará Paraíba Pernambuco Piauí Paraná Rio de Janeiro Rio Grande do Norte Rondônia Roraima Rio Grande do Sul Santa Catarina Sergipe São Paulo Tocantins
State * Select... Booden Town East End George Town North Side Sister Islands West Bay
State * Select... Aisén del General Carlos Ibáñez del Campo Antofagasta Arica and Parinacota Araucanía Atacama Bío-Bío Coquimbo Libertador General Bernardo O'Higgins Los Lagos Los Ríos Magallanes y Antártica Chilena Maule Región Metropolitana de Santiago Tarapacá Valparaíso
State * Select... Antioquia Bolívar Boyacá Cauca Cundinamarca Distrito Capital Magdalena Santander Tolima
State * Select... Alajuela Cartago Guanacaste Heredia Limon Puntarenas San Jose
State * Select... Pinar del Río Artemisa La Habana Mayabeque Matanzas Cienfuegos Villa Clara Sancti Spíritus Ciego de Ávila Camagüey Las Tunas Granma Holguín Santiago de Cuba Guantánamo Isla de la Juventud
State * Select... Saint Andrew Saint David Saint George Saint John Saint Joseph Saint Luke Saint Mark Saint Patrick Saint Paul Saint Peter
State * Select... Azua Baoruco Barahona Dajabón Distrito Nacional Duarte Elías Piña El Seibo Espaillat Hato Mayor Hermanas Mirabal Independencia La Altagracia La Romana La Vega María Trinidad Sánchez Monseñor Nouel Monte Cristi Monte Plata Monte Plata Peravia Puerto Plata Samaná Sánchez Ramírez San Cristóbal San José de Ocoa San Juan San Pedro de Macorís Santiago Santiago Rodríguez Santo Domingo Valverde
State * Select... Azuay Bolívar Chimborazo Cañar Carchi Cotopaxi ElOro Esmeraldas Galapagos Guayas Imbabura Loja LosRíos Manabi MoronaSantiago Napo Orellana Pastaza Pichincha SantoDomingodelosTsáchilas SantaElena Sucumbíos Tungurahua ZamoraChinchipe
State * Select... Ahuachapán Cabañas Chalatenango Cuscatlán La Libertad La Paz La Unión Morazán San Miguel San Salvador Santa Ana San Vicente Sonsonate Usulután
State * Select... Guyane
State * Select... Saint Andrew Saint David Saint George Saint John Saint Mark Saint Patrick
State * Select... Pointe-à-Pitre Basse-Terre Sainte-Anne Petit-Bourg Le Moule
State * Select... Alta Verapaz Baja Verapaz Chimaltenango Chiquimula El Progreso Escuintla Guatemala Huehuetenango Izabal Jalapa Jutiapa Petén Quetzaltenango Quiché Retalhuleu Sacatepéquez San Marcos Santa Rosa Sololá Suchitepéquez Totonicapán Zacapa
State * Select... Barima-Waini Pomeroon-Supenaam Essequibo Islands-West Demerara Demerara-Mahaica Mahaica-Berbice East Berbice-Corentyne Cuyuni-Mazaruni Potaro-Siparuni Upper Takutu-Upper Essequibo Upper Demerara-Berbice
State * Select... Artibonite Centre Grand'Anse Nippes Nord Nord-Est Nord-Ouest Ouest Sud-Est Sud
State * Select... Atlántida Choluteca Colón Comayagua Copán Cortés El Paraíso Francisco Morazán Gracias a Dios Intibucá Islas de la Bahía La Paz Lempira Ocotepeque Olancho Santa Bárbara Valle Yoro
State * Select... Hanover Saint Elizabeth Saint James Trelawny Westmoreland Clarendon Manchester Saint Ann Saint Catherine Saint Mary Kingston Parish Portland Saint Andrew Saint Thomas
State * Select... Fort-de-France La Trinité Le Marin Saint-Pierre
State * Other
State * Select... Boaco Carazo Chinandega Chontales Estelí Granada Jinotega León Madriz Managua Masaya Matagalpa Nueva Segovia Rivas Río San Juan
State * Select... Bocas del Toro Coclé Chiriquí Colón Darién Herrera Los Santos Panamá Panamá Oeste Veraguas
State * Select... Alto Paraguay Alto Paraná Amambay Asunción Boquerón Caaguazú Caazapá Canindeyú Central Concepción Cordillera Guairá Itapúa Misiones Ñeembucú Paraguarí Presidente Hayes San Pedro
State * Select... Amazonas Ancash Apurímac Arequipa Ayacucho Cajamarca Callao Cusco Huánuco Huancavelica Ica Junín La Libertad Lambayeque Lima Lima [Province] Loreto Madre de Dios Moquegua Pasco Piura Puno San Martín Tacna Tumbes Ucayali
State * Select... Nickerie Coronie Saramacca Wanica Paramaribo Commewijne Marowijne Para Sipaliwini Brokopondo
State * Select... Tobago San Fernando City of Port of Spain Mayaro Arima Chaguanas Couva-Tabaquite-Talparo Diego Martin Penal/Debe Princes Town Point Fortin Sangre Grande Siparia San Juan/Laventille Tunapuna/Piarco
State * Select... Artigas Canelones Cerro Largo Colonia Durazno Flores Florida Lavalleja Maldonado Montevideo Paysandú Río Negro Rivera Rocha Salto San José Soriano Tacuarembó Treinta y Tres
State * Select... Amazonas Anzoátegui Apure Aragua Barinas Bolívar Carabobo Cojedes Delta Amacuro Falcón Guárico La Guaira Lara Mérida Miranda Monagas Nueva Esparta Portuguesa Sucre Táchira Trujillo Yaracuy Zulia
State * Select... St. John St. Croix St. Thomas
Phone Number
Street Address
City
Zip/Postal Code
How would you best describe your company’s relationship with Sharps? * Alliance Technology Partner: My company sells complimentary solutions to NEC product Consultant: My company is a consulting firm Distributor: My company sells to resellers Consumer/end user: My company purchases NEC product for final use OEM: My company integrates other technologies into NEC product (touch) Reseller: My company sells to end user customers Other (none 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? * Rental and Staging Other
What is your Customer Type? * Digital Cinema Reseller Independent Servicers Integrator Rental and Staging Other
What is your Customer Type? * Independent Servicers Other
Yes, I would like to receive information from Sharp 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.
Comments