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SRT Channel Partner Application

You may complete the form below and submit it to be considered for Certified Channel Partner status. A valid email address is required so that program information can be sent to you for consideration.

The fields marked with a * are required.

You may also complete the hardcopy version and fax it to our US based Channel Programs Office at 1-610-873-9972.

Company Information
* Company Name:
* Contact Name:
Contact Title:

* Contact Email Address:
Company Address:
(continued):
City / Locality:
State / Province:
Zip / Postal Code:
Country:
* Phone:
Fax:
* Company Web Site:
Business Details
Year Founded:
Total Number of Employees:
Business Type:
Corporation Partnership
Sole Proprietor
Other
Company Classification:
(select all that apply)
Reseller VAR
System Integrator Consultant
Education OEM
Developer Franchise
Distributor Mail Order
Other
Vertical Markets Served:
(select all that apply)
Education Government
Financial Services Legal
Retail Manufacturing
Telecommunications / ISP
Other
Geographic Markets Served:
(select all that apply)
Local Regional
National International
Previous Fiscal Year Revenue % Breakdown:
Software:  %
Hardware:  %
Services:  %
Current Product Interest
Products interested in:
(select all that apply)
WebDrive
Titan FTP Server
GroupDrive Collaboration Suite
Time frame for purchase :
Immediately
2 - 4 Weeks
1 - 3 Months
No immediate purchase needs
Seats / licenses required :
1 - 10
11 - 50
51 - 100
101 - 1000
1000 +
Enterprise / Unlimited
Sales Expectations
Anticipated Annual Volume
of SRT Licenses:

Estimated Annual SRT Product Sales Revenue (US$)

Company Departmental Contact Information
Accounting Contact:
Phone:
E-mail Address:
   
Purchasing Contact:
Phone:
E-mail Address:
   
Sales Contact:
Phone:
E-mail Address:
   
Technical Contact:
Phone:
E-mail Address:
Marketing and Expected Use Information - Resellers Only
1. How do you plan to market SRT applications? Will you post SRT product logos or links to the SRT web site on your web site?
2. Are SRT applications to be integrated with a new or existing service or product? Please describe the service or product.
3. Are you able to respond to customer inquiries for local reseller pricing that are forwarded from our office?
4. Will you process software only sales to local end users? Do you have any order minimums or restrictions?

5. Is your technical point of contact able to provide 1st level support of SRT applications for your customers?
6. How did you become aware of SRT applications? Which search engine did you use to find us? What search words did you use?
General Comments