Partner Application Form

Company name:
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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?