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Partner Application Form

Company name:
Address 1:
Address 2:
City:
State/Province:
Country:
Zip/Postal code:
Contact name:
Contact title:
Phone:
Email:
Type of partnership: (check all that apply) VAR
Integrator/Consultant
Managed Service Provider
Company revenue: < $2,500,000
$2,500,001 – 10,000,000
$10,000,001 – 50,000,000
> $50,000,000
Target customer: Enterprise (>5000 employees)
Mid-Market (1000-5000 employees)
Small Business (< 1000 employees)
Target verticle markets: (name top five)



# of Employees:
# of Sales reps:
Current vendors sold: (check all that apply) Cisco
Symantec
McAfee
ISS
Other IDS/IPS vendors:
Technical staff certifications and expertise:
How is your sales force organized?
How do you roll out new product offerings to your company?
Why do you want to work with Alert Logic?
 

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