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Partner Application

Your details

Name (First / Last) * /

Company *
Job title

Phone number*
Email *

Address

City
Zip code/Postcode *

Country * State/Province State/Province* State/Province* State/Province* Website *
What is your total annual revenue from last year? (USD) * $

You can convert your currency to USD at xe.com.

What percentage is from selling IT security solutions? * %
How many company/business clients do you have? *

What industry sectors do you target? *

Aerospace & Defense
Banking
Biotechnology
Chemicals
Consulting
Consumer Products
Education, Primary/Secondary
Education, Higher Ed/Tertiary
Energy
Engineering & Construction
Entertainment
Financial
Government, Local
Government, National/Federal
Government, State/Regional
Healthcare - Public
Healthcare - Private
Hi-Tech, Hardware

Hi-Tech, Services
Hi-Tech, Software
Hospitality
Insurance
ISP
Legal
Manufacturing
Media & Publishing
Natural Resources
Non-Profit
Pharmaceuticals
Retail
Services
Telecommunications
Transportation
Utility
Other

How many sales staff do you have? *
How many technical staff do you have? *
Are you currently selling endpoint security software? * Yes No
If yes, what?
Are you currently selling email security software or hardware? * Yes No
If yes, what?
Are you currently selling web security software or hardware? * Yes No
If yes, what?
Do you currently have a sales opportunity? * Yes No