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Application Form

The TriGeo Channel Partner Application is the first step to joining our partner program. Please fill out all areas of this form and click the submit button below. A TriGeo channel manager will contact you within a few business days.

Any information you supply is protected by the terms of our Privacy Policy.

* All fields required.

Contact Information
Company Name:
Company Website Address:
Primary Address:

City:
State:
Zip/Postal Code:
Country:
Main Telephone:
Main Fax:
Primary Contact Name:
Primary Contact Phone:
Primary Contact Email Address:

About Your Company

1. Type of relationship you are interested in. (please check all that apply)

Integrator	Consultant	Reseller
Certified Trainer	Marketing Partner

2. Check the description that most accurately describes your company.

3. How long has your company been in business?

4. Is your company public or privately held?

5. How many employees in your company?

6. What is your company's approximate annual revenue?

7. Key accomplishments and milestones:

8. List the approximate revenue mix of your company by percentage:
(The combined total of all fields should come to 100%, enter 0 if none.)

% Hardware	% Software (from vendors)
% Consulting	% Software (your own)
% Technical Support	% Custom software development
% Training	% Systems and software integration

9. TriGeo maintains a database of Alliance members for lead referrals.

Yes, we want to participate
No, we do not want to participate in the lead referral program

10. Please provide brief descriptions.

Products:

Services:

11. Describe any special services, areas of expertise, vertical markets or major awards.

12. List key vertical markets you target.

13. What network security products do you currently resell or represent (firewall, IDS, anti-virus, etc.)?

14. Do you have an immediate TriGeo SIM opportunity?

Yes No

15. Estimated number of existing clients who are likely to purchase TriGeo in the next 12 months:

Sample Customer

Customer business name:

Brief description of solution provided to customer:

Customer Reference

Customer business name:

Customer contact name:

Title:

Phone:

Brief description of solution provided to customer:

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