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Application Form

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Partner Application Form

Please complete the form below:

Contact Information

 

Company Name

Your Name

Title

Address

City

State

Zip Code

Website

E-mail

Phone Number

Fax #

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:

 CA

 Microsoft

 Oracle

 HP

 Daptiv

 

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

 Government

 Education

 Fortune 500

 Accounting

 Advertising

 Aviation / Aero

 Automotive

 Chemical

 Construction

 Development

 Entertainment

 Food Services

 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 ProjectVision or other Cora Systems software?

 

Reseller Agreement (please read)

Click here to view the Cora Systems Partner Agreement (opens in its own window).

 

By submitting this form, I agree to the terms of the reseller agreement.

Please e-mail our Partner Manager if you have problems submitting this form, or you have any questions.

< Click here to return to the main Partner website.

 


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