| Channel Partner Registration Form |
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| * mark fields are mandatory. |
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* First Name: |
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* Last Name: |
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* Title: |
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* Phone: |
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* Email: |
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* Company: |
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* Address: |
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* City: |
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* State/Province: |
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* Zip/Postal Code: |
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* Country: |
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If your location is a satellite office or division, please provide the location of your headquarters or parent organization. |
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* Company: |
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* Address: |
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* City: |
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* State/Province: |
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* Zip/Postal Code: |
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* Country: |
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* Phone: |
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* Email: |
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1. What WinMagic products are you interested in selling? |
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SecureDoc
SecureDoc Enterprise Server
SecureDoc PDA
SecureDoc Compartmental
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2. What is your company's annual sales? |
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less than 100k
101k-250k
251k-500k
501k-1M
1M-2.5M
2.5M-5M
more than 5M
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| 3. What is your sales geography? |
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| 4. What is your primary business? |
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| 5. Security Vendor's Products |
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| Unlisted Vendor Products: |
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| 6. How many employees at your location? |
1-5
6-15
16-50
51-100
101-250
more than 250
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| 7. How many employees in the entire organization? |
1-5
6-15
16-50
51-100
101-250
more than 250
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| 8. Has your company achieved any certification with any of the following companies? |
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| Unlisted Certifications: |
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| 9. What distributors are you currently working with? |
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10. Which category best describes your typical customer profile? |
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1-500 users
501-1000 users
1001-5000 users
more than 5000 users
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| 11. What markets do you specialize in? |
Financial Services
Federal/National Government
State/Province/Local Government
Healthcare
Manufacturing
Education
E-Business Application
Other
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| Unlisted Markets: |
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12. Which platforms does your company have expertise in? |
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Windows
Macintosh
Linux
Solaris
HP-Unix
Novell NetWare
AIX
Other
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13. Please apply a percentage to each category based on type of revenue for your company |
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% Professional Services
% Software Sales
% Hardware Sales
% Other
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| 14. How did you hear about us? |
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| Other: |
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| Comments: |
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