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Netgain Partner Program Application
Company Information
Company Name:
Address:
City:
State:
Zip:
Telephone:
(
)
-
Second part
Third part
Company website:
Primary Contact
Partner Contact Name:
Title:
Division/Department:
Email:
Phone:
(
)
-
Second part
Third part
Ext:
BusinessProfile
Years in Business:
Annual revenue($ in Millions):
Product/solution offerings:
Service Offerings:
Percent of business:
(Total must equal 100%)
Hardware:
Software:
Services:
Consulting:
Other:
Vertical markets served:
(List vertical markets over 25% of revenue)
Healthcare:
Education:
Government:
Manufacturing:
Other:
Please specify:
Target market size:
SMB:
Enterprise:
Mid:
Global:
SME:
Other:
Geographical coverage:
Other partner vendors:
Staff Resources
Number of employees:
Number of salespersons:
Number of technical support: