Samsung Canada | Mobile | TV

Please enter your details. All fields marked (*) mandatory.

1. Basic Profile

Company Name*

Current Position*

First Name*

Last Name*

Email Address*

Email confirmation*

2. Business Address

Phone Number*

Street 1*

Street 2

City*

Province or Territory of Residence*

Postal Code*

3. Tell Us About You

Doing Business As

What product types do you currently handle?* (Select all that apply) What product types do you currently handle?* (Select all that apply)
Handheld Phones Note PC Tablet

Are you currently providing*

Are you an organization that provides self-servicing maintenance for Samsung products?*

4. Service Capabilities

Learn about the WISE Certification industry standard.

Are any of your technicians Certified with WISE?*

Is your business WISE Certified?*

How long has your company been in business?*

Serviced Product Groups Serviced Product Groups

Handheld Phones Note PC Tablet None

Were you previously authorized by Samsung to do repair service?

Number of technicians*

How many years of experience does your technician have in average?

What is the approximate size of your facility?*

If applicable, how many Samsung repairs do you service each month on average? (indicate 0 if none)

Please list any service equipment, tools/jigs, software you have to assist and aid in performing hardware repair.

* All information collected in this application will for Internal Samsung Electronics Canada use only and only for the purpose of your application to the Independent Service Provider Partner Program.

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