Partner Application

Please provide the requested information.

1. Full Name

2. Company

3. Title

4. Email

5. Phone

6. Fax

7. Website Address

8. Address

9. City

10. State

(Select one) Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregan Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Non-US Resident

11. Zip Code

12. Which partner program are you interested in?

Reseller Referral Partner Consultant OEM / Alliance (Other)

13. What size companies do you typically work with?

Less Than 100 Employees 100-250 Employees 250-500 Employees 500-1000 Employees 1000-5000 Employees 5,000-10,000 Employees 10,000+ Employees (Other)

14. How may sales people and/or consultants do you have?

Less Than 5 5-10 Employees 10-20 Employees 20-30 Employees 30-50 Employees 50+ Employees (Other)

15. What is your primary focus for online interaction management?

Salesforce.com Integration / New Lead Generation
Online Marketing & Customer Tracking
Customer Service, Support & Feedback Mgmt
Product Development & Management
Customer Extranet / Contact Us Page
Cost Reduction / Systems Consolidation
Sales Enhancement / CRM Integration
(Other)

16. Importance

High Medium Low

17. Description

18. Comments