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2B-Partner Application


We appreciate your interest in our partnering program.  A representative will contact you within 2 business days.

Please provide the following information:  

* Required Information

Contact Information
 
Company Name*
Parent Company Name
Salutation
First Name*
Middle Initial
Last Name*
Job Title*
E-mail*
Phone*
Mobile
URL
Office Address
 
Address*
Address 2
Address 3
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax

Billing Address
 
Same as office address
Address*
Address 2
Address 3
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax
E-mail
Company Information

 
# of Branch Offices?
Year Established
Annualized Revenue


Additional Information
 

Microsoft Retail Partner?  
CounterPoint Dealer?  
Other Software?  
(Other)  Please List:  
   

Tell Us More!
 
What are your goals in partnering and/or reselling our products?  

How many end users do you plan to target as a result of reselling our software?
 

  

Are you interested in co-marketing?

 Yes   No

Other Comments: 
   
Staffing Information
 
Post-Sales Technical
Field Sales
Marketing
Inside Sales
Trainer
Pre-Sales Technical
Total Employees

Contacts
 
Executive Primary Sales Contact Primary Technical Contact
     
First Name
Last Name
Email
Phone
First Name
Last Name
Email
Phone
First Name
Last Name
Email
Phone