Partnership Application

Tell us about your company.

(* indicates required fields)

* Company Name:

* First Name:

* Last Name:

"Doing Business As", leave blank if Same:

* Country:

* Street Address:

* City:

* State/province:

*Postal Code:

* Main E-mail:

* Main Phone:

Main Fax:

Web URL:

State Registration/Tax ID Number (USA Only):

Issuing State (USA Only):

* # of offices?

* Please list office locations:

* When was your company founded? MM/YY

* Approximate Gross Annual Sales in $US:

% from Software Revenue:

% from Service Revenue:

% from Hardware Revenue:

# of employees?

# of Inside Sales People?

# of Outside Sales People?

# of Marketing People?

# of Technical Support People?

# of Development People?

# of Trainers?

Tell us about your key executives & company contacts.

Note: If any field in this section does not apply to you, fill in the blank with an "X".

President/Owner/Manager

* First Name:

* Last Name:

* Title:

* E-mail:

Director of Sales/Sales Manager

* First Name:

* Last Name:

* Title:

* E-mail:

Sales & Marketing Contact
(To receive Leads and Market Communications)

* First Name:

* Last Name:

* Title:

* E-mail:

Primary Technical Contact
(To receive all Technical Updates)

* First Name:

* Last Name:

* Title:

* E-mail:

MCSE Present in your Company
(To receive all Technical Updates)

* First Name:

* Last Name:

* Title:

* E-mail:

* MCSE Number:

Note: We will require a copy of the MCSE certificate.

Tell us about your business.

*Type of Company:

Corporation
Sole Proprietorship
Partnership
Individual

*Type of Business:

Value-Added Reseller Consultant Developer Systems Integrator Trainer Independent Software Vendor Vertical Market
If Vertical market, what market?
Government Medical/Healthcare Telecommunications Insurance Legal Technology	Entertainment Real Estate Banking/Finance Manufacturing Transportation
Other (please specify below)

I am interested in selling the following:<

Sales and Marketing Module
Support Module
Advanced Customization Services
Integration Services
Note: Some products/services may require additional certification courses.

* Type of solutions your company provides:<

Asset Management
CRM
Financial/Accounting
Help Desk
Infrastructure Management
SFA
Other [please add below]

* What back-office products do you support?


Microsoft Oracle SAP Sage Software Other [please add below]	Lawson Great Plains Solomon JD Edwards None

* What network certifications does your company maintain?

Win 95/98 NT Citrix Unix Other [please add below]	Linux OS/2 Novell None

* What database certifications does your company maintain?

MS SQL Oracle Sybase Interbase Other [please add below]	DB2 Sybase Informix None

* What CRM products do you sell?

* What Accounting software applications do you sell and support?

Sage MAS 90 Sage MAS 200 Sage MAS 500 Sage Accpac Champion Great Plains Solomon JD Edwards Other [please add below]	Sage PFW MS SMS Quickbooks SBT Peachtree by Sage Macola Sage BusinessWorks None

Tell us how you heard about us.

* How did you hear about us:

Advertisement
Another Business Partner
Sage CRM Solutions Regional Manager
Sage CRM Solutions Seminar
Trade show
Web Site
Word of mouth
Other (Please Explain)