CHANNEL PARTNERSHIP APPLICATION

Name: *
Title/Position: *
Company: *
Tel: *	Ext.:
E-mail: *
When it comes to product/service what is your primary role? *
select one End-user/Client Consultant (Internal) Consultant (External) Academic Provider Both End-user and Provider
Functional areas are you responsible for.	Your company's annual revenue is:
select one Administration Customer Service Distribution & Logistics Finance Facilities Management Human Resources Information Technology Marketing/Sales Other	select one $75 million and lower $76 to $500 million $501 million to $1 billion $1 billion to $5 billion $5 billion and greater
TYPE OF PARTNERSHIP THAT YOU ARE LOOKING FOR
RESELLER
CONSULTING PARTNER
TECHNOLOGY PARTNER
Please provide more details about your organization and your expectations from our partnership. needs:
Would you like us to keep you informed via email of our Service Offers & Newsletters.
Contact: partners@digiblitz.com