Get Qualified to become an AXIM Dealer
Please provide all required details below to qualify your business with us. If your company qualifies to become an AXIM dealer, we will be in contact with you to discuss further opportunities.
Primary Contact
*
First Name
Last Name
Business Name
*
Contact Number
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Area Code
Phone Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Netherlands
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New Caledonia
New Zealand
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Niger
Nigeria
Niue
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Northern Mariana
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Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
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eSwatini
Sweden
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Syria
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Thailand
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Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
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Western Sahara
Yemen
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Other
Country
Type of Business
*
Please provide a short description about your company.
*
Please describe your current interest level in becoming an AXIM Dealer.
Looking to start selling in in the next 3 months
Looking to start in 6 months
Looking to start in 12 months
Currently just researching for dealer opportunities
Ready to buy today
What market do you service? What is your geographic reach?
What is your annual sales volume?
How many sales people do you have on your team?
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