Partners

Advantage Program Application

All fields are required. Incomplete applications will not be considered. If information requested is not applicable put N/A in the field.

Company Information Company Name: Headquarters Address: City: State/Province: Zip/Postal: Country: Phone: Website: Application Submitted By: Resale/Tax ID (US Only): Federal Tax ID (US Only):

Primary Contact Information Sales: Title: E-mail: Phone:

Technical (Pre-Sales): Title: E-mail: Phone:

Marketing: Title: E-mail: Phone:

Purchasing/Pricing: Title: E-mail: Phone: Service/Support (Post-Sales): Title: E-mail: Phone:

Business Information

Number of Employees

Sales/Inside: Outside: Technical:

Annual Sales (USD)

0-25 Million 25-50 Million 50-100 Million > 500 Million

Revenue Breakdown

Hardware % Software % Service %

Business Focus

Commercial % Fed Government % State/Local Gov. %

Vertical Market Focus

Finance % Healthcare % Manufacturing % Telecommunications % Education % Government % Transportation % Media/Entertainment % % Other (list) %

Does your company focus on selling locally, regionally or nationally? Please list areas covered.

Sales / Product Information

List Distributor Relationships:

Ingram Account # (If Applicable)

List Networking Products Sold (Cisco, Nortel, Extreme, etc.)

List Applications Sold (Oracle, BEA, PeopleSoft, etc.)

List Server Products Sold (HP, IBM, Dell, etc.)

List Security Products Sold (Check Point, NetScreen, etc.)

List Partner Relationships (include vendor, program name, program level)

List Technical Certifications (include certifications, level and # of certified staff)

Support Information

Does your company have a call management system for technical support?

Yes No

Does your company have a service lab?

Yes No

Does your company provide onsite customer support?

Yes No

Can your company provide 7 days x 24 hour support?

Yes No

Partners

Advantage Program Application

Number of Employees

Annual Sales (USD)

Revenue Breakdown

Business Focus

Vertical Market Focus

Overview