Partners: SureID Partner Application

SureID Partner Application


To apply to become a SureID partner, complete the form below. Fields marked with an asterisk (*) are required.
General Information:

* Company: Type of Organization:
Address: Number of
Employees:
Address: Number of
Sales Reps:
City: Number of
Technical Engineers:
State: * Partner Type:
Zip Code:
Country:
Phone:
Fax:
Website:

Contact Information:

1. Primary Business Contact:

2. Technical Contact:

Name: Name:
Title: Title:
Phone: Phone:
* Email: Email:
Mobile: Mobile:
Fax: Fax:
3. Sales Contact:

4. Marketing Contact:

Name: Name:
Title: Title:
Phone: Phone:
Email: Email:
Mobile: Mobile:
Fax: Fax:
 
5. Please list your geographic region of operations:
6. Please list all companies/products you currently represent:

7. Please describe your business and service offering (go to market strategy):

8. Please describe your typical customer profile:

9. Do you serve a specific application area or vertical market industry?

10. Which of the following does your company offer (check all that apply)?
 
 

Other   
11. Please list any partnership designations or program certifications          
from Tier 1 VPN/FW Vendors:

12. Identify the quantity of individual technical certifications           
held by members of your technical staff:

13. Comments or questions: