DELL Technologies Solution Provider
Preferred Distributor Nomination Form for Dell EMC Storage Solutions
Dear Solution Provider,
Thank you for expressing your interest in purchasing products from the Dell EMC Storage solutions portfolio.
We kindly request you to nominate a Distributor who supports Dell EMC Storage solutions by filling out the request form
below.
General Solution Provider Information
My company is currently a Dell Technologies Solution Provider buying through a Distributor and is interested in selecting a
preferred Distributor for Dell EMC Storage solutions. I understand the information provided in this document will be reviewed
by authorized Dell Technologies or Distributor personnel only and will be maintained in confidence. I also understand that by
completing and submitting this form to Dell Technologies I will be held to a period of at least two (2) years with my preferred
Distributor named below pursuant to the terms of the Dell Technologies Switch Policy.
Solution Provider’s Full Dell Assigned
Legal Business Name: Affinity ID #
Solution Provider’s Address:
City: SAO PALO State: SP Zip: 04583110
Country: BRAZIL Phone: +5511957837169 Corporate WWW.NOVELLIMA.COM.BR
URL:
If applicable, name the current Dell Technologies Distributor that
you are currently authorized to procure Dell EMC products from:
Which Dell Technologies Distributor are you Nominating and
planning to procure Dell EMC Storage solutions going forward?
Summary of Reason for the
request:
Requestor Requestor Requestor
Name: Title: eMail:
Date: Signature:
Dell - Internal Use - Confidential
Dell Customer Communication - Confidential
Dell - Internal Use - Confidential
Dell - Internal Use - Confidential
Dell Customer Communication - Confidential