Tell us about your company

Company Name *

Address *

City *

State
Postal Code
Country *

Corporate Phone # *

Corporate FAX #
Web site *

In Business Since *

Current # of Employees *

Current # of Customer sites
Last year's revenues <100K 100-500K 500-1000K >1000K >5000K

Which of the following describes your business (by %)?

Value Added Reseller *
Systems Integrator *
Consultant *
Developer *
Independent Software Vendor *
Trainer *
Other *

Key Company Contacts

Name *
 
Title *
 
Email *

Phone *
 

What industries do you sell into? Which industries are targets ?

	Current	Target
Manufacturing/Distribution
Finance/Banking
Healthcare
Telecommunications
Food & Beverage
Consumer Products
Transportation
Government
Technology
Other

If applicable, what software products are you currently selling?

Product Name