Perfecto

Perfecto Alliance Application Form

(Note: The items marked with * are mandatory fields)

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Email address:

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Alliance type:

  Strategic
  E-Var
  E-Integrator/Consultant
  E-Reseller
  Other

Company Information

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Company name:

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Address:

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City:

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State:

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Zip code:

Country:

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Phone Number:

Fax Number:

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Web site URL:

Company Description/ What you do:

Reference Accounts:

Alliance Contact Information

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Contact name:

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Title:

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Email address:

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Phone number :

Fax number:

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Does your company have a security products division?

Yes No

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Does your company have an eCommerce division?

Yes No

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What percentage of your marketing effort is focused on eCommerce?

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What percentage of your sales efforts are devoted to eCommerce?

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What hardware and operating systems do you support?

Unix Solaris Windows NT Linux HP UX
Other

Target Markets

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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:

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What percentage of your business comes from each target market listed above?