PARTNERS

Reseller Application

Please provide the following information. A Colasoft representative will contact you shortly. Fields marked by an '*' are mandatory.

Select Product: *

Company Information
Company Name: *
Address: *
City: *
State or Province: *
Country: *
Zip or Postal Code: *
Web Site URL: *

Primary Contact Information
First Name: *
Last Name: *
Title: *
Job Position: *
Email: *
Telephone: *
Fax: *

Territory
Industry: *
Other: Please specify
Type: *
Other: Please specify

Reseller Information
Annual revenue: *
Percentage of revenue from hardware sales: % *
Percentage of revenue from software package sales: % *
Other sources: %
Please describe other sources (if any):
Business established (Year): *
Organization type: *
How many software products do you sell? Please specify.
How many hardware products do you sell? Please specify.
Other network analysis and management solutions you offer:
*
How do Colasoft products fit into your business strategy?
Targeted Annual Colasoft Revenue:
*

Staff
Total number of employees:       *
Number of sales employees:       *
Number of technical employees: *
How can you do promotion for reselling Colasoft products:
*


I hereby certify that I have read and understood the Terms and Conditions of the Colasoft Reseller Program and agree to abide by them. /* */
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