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Thank you for your interest in GTT Corp. It is our full intention to keep you aware of all products that are of interest. To better serve you, we will need some additional information. Please complete this brief form by answering each question. A GTT Corp. representative will contact you directly as equipment that you are interested in becomes available. If you would like to print this form, click here for a printer-friendly PDF version and fax the completed form to (502)241-2053. You must have Adobe Acrobat Reader installed on your PC in order to use the printable version of our Customer Profile form. We are looking forward to working with you. Company Name: Contact Name: Street Address: City: State: --Select-- Outside US 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 Washington D.C. West Virginia Wisconsin Wyoming --Other US-- Zip: Country: --Select-- United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep. of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Rep. of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue norfolk Island northern Mariana Islands norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and The S.Sandwich Is. Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Business Phone Number: Business Fax number: Email Address: Company Type: --Select-- Distributor Agent Retail Wholesaler Carrier Please select all technologies of interest: AMPS NAMPS TDMA 800MHz CDMA 800MHz CDMA 1900MHz GSM 900MHz GSM 1800MHz GSM 1900MHz Please list any specific models in which you would be interested & quantity desired: Make: --Select-- Audiovox Ericsson Kyocera LG Electronics Motorola NEC Nokia Qualcomm Samsung Sanyo Sony Model: Qty. Make: --Select-- Audiovox Ericsson Kyocera LG Electronics Motorola NEC Nokia Qualcomm Samsung Sanyo Sony Model: Qty. Make: --Select-- Audiovox Ericsson Kyocera LG Electronics Motorola NEC Nokia Qualcomm Samsung Sanyo Sony Model: Qty.
Thank you for your interest in GTT Corp. It is our full intention to keep you aware of all products that are of interest. To better serve you, we will need some additional information. Please complete this brief form by answering each question. A GTT Corp. representative will contact you directly as equipment that you are interested in becomes available.
If you would like to print this form, click here for a printer-friendly PDF version and fax the completed form to (502)241-2053. You must have Adobe Acrobat Reader installed on your PC in order to use the printable version of our Customer Profile form.
We are looking forward to working with you.