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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:*

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 an IBM Business Partner? Yes  No

4. Are you a Microsoft Solutions Provider?  Yes  No   

        If Yes, what kind?   

5. What other partnerships do you maintain?

6. What ERP packages do you sell/support?

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

8. Which vertical markets do you specialize in?

9. Other software vendors represented ?

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

11. Comments/Questions :