Partner Registration Form



Name of Organization *
Type of Organization	Available Items Business Consulting Consulting Product Manufacturer Reseller Technology (click on an item to select it) Selected Items (click on an item to remove it)
Main Address *
Country *
Primary Contact Name *
Primary Contact Number *
Primary Contact Email *
Website *
Primary Contact Fax *
Existing Partnerships	Available Items DELL HP IBM Microsoft Gold Partner Microsoft Partner (click on an item to select it) Selected Items (click on an item to remove it)
Short Company Overview *
Reason for Partnership Request	Available Items Re-sale Support Subcontracting VAR (click on an item to select it) Selected Items (click on an item to remove it)
Reason Notes
Are you requesting promotion assistance?
Are you requesting training support?
Are you wanting support / consulting?
What languages are you fluent in?
Briefly describe your proposed contribution *
What industries are you in?	Available Items Cross Industries Education Energy/Oil Finance - bank Finance - capital Finance - insurance Finance - other Government / Military Health Manufacturing Real Estate Retail / Wholesale Services Telecom Transportation Utilities (click on an item to select it) Selected Items (click on an item to remove it)
Other experiences
Describe possible products and services offered
Describe your experience in target industries *
Describe your expectations of the partnership *
Status
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