Partner Registration

Company Contact Information

Company Name
Address
Address (2nd Line)
City
State/Province
Country
Zip/Postal Code
Company URL

Staff Contact Information

Main Contact Name
Main Contact Title  *
Main Contact Phone  *
Main Contact Email  *
Sales Contact
Sales Person's Title
Sales Person's Phone
Sales Person's Email
Technical Contact
Technical Person's Title
Techincal Person's Phone
Technical Person's Email
Company Information
       Year Business was established *
       Number of employees  *

      

       Total number of systems engineers & consutants *
       Number of sales people *
       Annual Revenues *     
Annual Sales Revenue Sources:
      Hardware 
      Software 
      Services
Type of Business: (Check all that apply)
     Value Added Reseller 
     Systems Integrator
     Software Reseller
     Distributor
     Managed Services
     Other
If Distributor:
How many active resellers do you supply to
(Active indicates order received from Reseller in the last quarter)
Markets Served:
       Government
       Education
       Small to Medium Business
       Enterprise
Active Customers
(Active indicates customers who have purchased in the last 24 months)
Number of active customers:
Hardware Products you represent: (Check all that apply)
     HP
     Dell
     IBM
     Fujitsu Siemens Computers
     Cisco
     Other
Software Products you represent: (Check all that apply)
     Peregrine
     Tivoli
     Microsoft SMS
     Intel LAN Desk
     Computer Associates
     Symantec
     Network Associates
     Citrix Associates
     VMware
     IBM Software
     Other
Certifications: (Check all that apply)
     Microsoft MCSE
     Novel Certified Engineer
     Network Associates TSP
      Knowledge of Windows OS Platforms (NT/2000 servers/workstations, 9x)
     HP ASE
      Knowledge of DHCP requirements & specifications
     Knowledge of TCP/IP
      Knowledge of NT/2000 server administration
      Working knowledge of routers, hubs and switches
Interested In: (Check all that apply)
     Client and Mobile Management
     Asset and Service Management
     Server Management
     Security Management
     Application Packaging