Key Partner Program Application Form

20%

Primary Contact for Partner Application

Name

Salutation

First Name

Last Name

Job Title*

Telephone*

Business Email*

Your route to market model: company profile

Years in Business*

Number of Employees*

Number of Full-time Sales Staff

Number of Full-time developers/application programmers

Number of Full-time Technical Staff

Number of Full-time Marketing Staff

What is the percentage of your overall sales with respect to the following items?

Hardware (IT Hardware, including AID, Mobile Computing and Wireless Infrastructure)*

Software (Custom or Proprietary Application Software or Middleware defined as: software designed and sold as the primary application which justifies the purchase of and runs on the hardware sold with the solution)*

Professional Service (Needs Analysis, Technology Consulting, Project Management, Custom Application Development, Systems Configuration, Systems Integration, Systems Installation & Training)*

Other sales generating activities

What percentage of your business is comprised of sales to the following markets?

Retail (Grocery, Wholesales, Convenience Stores)*

Manufacturing (Food, Apparel)*

Pharmaceutical /Chain Drug (HBA)*

3PL*

Other*

Please enter characters*

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Components

Services