"After just a few months, I've turned my whole marketing and sales operation into a well-oiled machine. I just put the gas in, and watch it go! Thanks!" read more

- Troy Bengford
  CEO
  Amazing Garage Floors

Partner Program Application

Company Name
Your Name
E-mail
Phone Number
Fax #
Title
Address
City
 State
 Zip Code
Website
Accounting Contact
 Phone
Purchasing Contact
 Phone
Marketing Contact
 Phone
Company Classification
Years in Business:
Business Type
 Corporation
 Partnership
 Proprietor
Which Distributor(s) do you purchase from:
 Ingram Micro
 Tech Data
 D&H
 Navarre
 GE Access
Other:
Please provide one distributor account # (used to verify reseller status). Call number above if unavailable.
Name:
 Number:
How would you classify your company? (check all that apply)
 Reseller  VAR  Sys Integrator
 Consultant  OEM  Developer
 Chain  Training  Franchise
 Distributor  Mail Order  E-Commerce
Select vertical markets you “concentrate” on and specialize in  - check all that apply
 Accounting  Advertising  Aviation / Aero
 Automotive  Chemical  Construction
 Development  Entertainment  Food Services
 Government  Education  Fortune 500
 High Tech  Health Care  Insurance
 Library  Publishing  Real Estate
 Security  Training  Travel
Other (list):
Prior year annual revenue
 Projected revenue this year
Percentage of revenue (totals 100%):
Hardware
Software
Services
What geographical area do you serve?
 Local (50 mile)  State wide  Regional
 National  International
Total # of employees:
# Inside sales:
# Outside sales:
# Engineers:
Indicate which types of marketing activities you engage in:
 Seminars  Newsletters
 Trade Shows  Direct Response
 Print Ads
Other:
Relationships, Certifications
Please list other primary vendors you have a formal (reseller agreements) relationship with. Include key certifications.
Please provide a description of your primary “value added” services (integration, training, custom development, etc.)
What other products do you sell that are similar or complimentary to OfficeAutopilot?