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Partner Program
To apply please complete the Reseller Application Form:
First Name:
Last Name:
Job title:
Company Name:
Email address:
Address:
City:
State / Province:
Country:
Afganistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguila
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerjaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belguim
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guadaloupe
Guam
Guatamala
Guinea-Bissau
Guinea
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (north)
Korea (south)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marshal Islands
Martinique
Mauritania
Maurritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Mynamar
Namibia
Nauru
Nepal
Netherland Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Marianas Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobego
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
ZIP / Postal Code:
Phone:
Fax:
This is a: (specify one)
New application
Partner renewal
Partner information update
(contact, company info)
I am applying to become a: (select one)
Volume Reseller partner
Volume Distributor partner
What is your federal tax ID (reseller number)/VAT number ?
Year established ?
Last year's revenue ?
$100 million +
$50 - $100 million
$20 - $50 million
$10 - $20 million
$5 - $10 million
$1 - $5 million
less than $1 million
Which of the following best describes your business? (select all that apply)
Distributor
Corporate Reseller
Application Service Provider
BI/DW Consultant
Value-added Reseller
Systems Integrator
Offer Added Service
(e.g. training, consulting)
On-Line only Reseller
Do you have an online store ?
Yes
No
URL:
Please list the top 5 vendors you work with (Hardware or Software) ?
What percentage of your revenue do the following account for ?
Hardware
0% - 25%
25% - 50%
50% - 75%
75% - 100%
Software
0% - 25%
25% - 50%
50% - 75%
75% - 100%
Services
0% - 25%
25% - 50%
50% - 75%
75% - 100%
Which BI/DM products do you sell ?
What is your primary target market ?
Government
Enterprise
(over 10,000 Users)
Large organizations
(1,000 - 10,000 Users)
Medium Organizations
(100 to 1,000 Users)
Small Organizations
(11- 100 Users)
SOHO small Office/Home Office
(less than 10 Users)
What Percentage of your sales are to the following markets ?
Small to medium sized business
%
Fortune 1000 companies
%
Home Users
%
Government
%
Education
%
Other
%
What Is The Primary Vertical Market You Service ?
Accounting
Educational
Financial
Government
Health Care
Hospitality
Imaging
Insurance
Legal
Manufacturing
Other
Other:
What Is The Secondary Vertical Market You Service ?
Accounting
Educational
Financial
Government
Health Care
Hospitality
Imaging
Insurance
Legal
Manufacturing
Other
Other:
Which regions do you sell product into ? (select all that apply)
Asia Pacific
Japan
Latin America
US / Canada
Europe
Middle East
Africa
How were you referred to the Generation 5 Partner Program ?
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