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Partner Application

Please complete this form to apply as a Seynd partner. Call (812) 638-4068 if you have any questions. Thanks.

Reseller Application

Step 1 of 3

33%

Company*
Name*
First Last
Title*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Website*
Include http:// before URL

Years in Business*
Business Type*
- Proprietor
- Partnership
- Corporation
Distributors
Which distributors do you purchase from (click all that apply)
- Ingram Micro
- Tech Data
- D & H
- Navarre
- GE Access
- SaaSMAX
- Douglas Stewart
- Lifeboat
- Other
Distibution #
Provide one distributor name and account # (used to verify reseller status)--or type NONE.
Classification
How would you classify your company? (check all that apply)
- Retailer
- VAR
- System Integrator
- Consultant
- Distributor
- OEM
- Developer
- Chain or Franchise
- Training
- Mail Order
- E-Commerce
- MSP
Verticals
Select vertical markets you concentrate and specialize in (check all that apply)
Prior Year Revenue
Projected Revenue
Projected revenue this year
% Hardware*
% of your business is Hardware
Please enter a number less than or equal to 100.
% Software*
% of your business is Software
Please enter a number less than or equal to 100.
% Services*
% of your business is Services
Please enter a number less than or equal to 100.
Geography*
What geographical area(s) do you serve (check all that apply)
- Local (50 mile)
- State Wide
- Regional (multiple states)
- National
- International
Total # Employees
# Inside Sales*
# Outside Sales*
# Engineers*

Relationships & Certifications
Please list primary vendors you have a formal relationship with (reseller agreements). Include key certifications.
Similar or Complimentary Products
List other products you work with that are similar or complimentary to Company products.
Value Added Services
Provide a description of your primary "Value Added" services (integration, training, custom development, consulting, etc.)
Reseller Agreement (please read)
Click HERE to view the Partner Agreement (opens in its own window). Please email or call the Partner Manager if you have any questions. By submitting this form, I agree to the terms of the reseller agreement.
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Name
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Address

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Business Hours

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Telephone

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Email

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