Sanctum Partner Application
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(Note: The items marked with * are mandatory fields)
Company Information
* Company name
* Address
* City
* State
  Zip / Postal
  Country
* Phone
  Fax
* Web site URL
* Alliance type
  Security Integrator / Consultant   Service Provider
  Strategic Alliance   AppSec Alliance
  Value Added Reseller (VAR)
  Other   
* Alliance Value

1. Describe the joint value proposition for our mutual customers.
(Use up to a maximum of 750 characters.)

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2. List your top three objectives for this alliance with Sanctum.
(Use up to a maximum of 750 characters.)

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Business Information
* Company Description/ What you do? (Use a maximum 750 characters.)
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  Year Established
  No. of Employees
  In Development   In Sales
  In Marketing   In Services
  In Other  
* Does your company have a security products division?  Yes    No
* Does your company develop Web applications in house?  Yes    No
* What percentage of your marketing effort is focused on eBusiness security?  %
* What percentage of your sales efforts are devoted to eBusiness security?  %
* What hardware and operating systems do you support?
     Unix Solaris      Windows NT      Linux      HP UX       Other   
  Revenue (In US $)
  Est. This Year   Last Year
  Revenue Share
 % Software?  % Hardware?  % Consulting?
  Regional Offices
* Geographical Focus
Americas Europe /
Middle East /
Africa		 Asia Pacific
USA Europe Japan
Canada Middle East Australia / New Zealand
Central America / Caribbean Africa North / Central Asia
South America    South / East Asia
Customer and Partner References
  Customer reference accounts (must provide at least two, including contact name and phone number)
 
Company Contact Phone
  Partner Reference Accounts
 
Partner NamePartnership Type/Level
Contact Information
  Primary Contact
  Contact name
* Title
* Email address
* Phone
Fax  
  Marketing Contact
  Contact name
* Title
* Email address
* Phone
Fax  
  Sales Contact
  Contact name
* Title
* Email address
* Phone
Fax  
  Technical Contact
  Contact name
* Title
* Email address
* Phone
Fax  
Target Markets
* What are the targeted markets your company focuses on?
 
  Media   Information Technology   Retail & Distribution
  Manufacturing   Energy   Electronics
  Professional Services   Telecommunications   Banking
  Financial Services   Transportation   Insurance
  Utilities   Health Care   Chemicals
  Consumer Goods   Construction & Engineering   Automotive
  Food & Beverage   Public Sector   Cross Industry
  Defense   Publishing   Pharmaceutical
  Legal   Real Estate   N/A
  Other  
* Top 3 specific industries and corresponding number of implementations for each
 
Industry
No. Implementations
    
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