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Partner Application Form

Items with an (*) must be completed for proper submission.

Full Legal Company Name:*
Address:*
City, State, Zip:*
Country:*
Website:*
Year Founded:*
Geographic Area Served:*
Number of Locations:*
Number of Employees:*
Number of Dedicated Sales People:*
Number of Dedicated Marketing People:*
Annual Revenue:*
Number of Customers:*
Primary Partnership Contact:
Name:*
Title:*
Phone:*
Email:*
Primary Technical/Services Contact:
Name:*
Phone:*
Email:*

YOUR COMPANY AND OBJECTIVES

1. Description of Primary Products/Services Provided:
    Product Mix (Total =100%)
    % Software
    % Consulting
    % Hardware
    % Maintenance
    % Other Services

2. What operating systems are supported?
    Windows
    System i
    Unix
    Linux
    Mainframe

3. Are you a Sage VAR/Solutions Provider?* Yes No
If Yes, what apps? (500) characters max)

4. Are you an IBM Business Partner? Yes No

5. Are you a Microsoft Solutions Provider? Yes No

If Yes, what kind?

6. What other partnerships do you maintain?

7. What ERP packages do you sell/support?

8. What other software packages do you sell/support?

9. Which vertical markets do you specialize in?

10. Other software vendors represented ?

11. Do you currently offer Services or Support ? Yes No
      If yes, which ones:
      Consulting
      Technical Support
      Professional Services
      Other:

12. Comments/Questions :