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GuardianEdge Trusted Partners

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PARTNER PORTAL

Channel Partner Application

COMPANY INFORMATION

*Company Name:

Please enter your Company Name.

Primary Business Address:

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*City:

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*State:

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Zip or Postal Code:

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*Country:

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*Phone:

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Fax:	Please enter your fax number.

Web Site:

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Reseller Tax ID:

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Year company established:

Please enter the year the company was established.

Company Description:
(this description will be used on the GuardianEdge web partner listing)

Please enter your Comments. Please enter at least 20 characters.

CONTACT INFORMATION

First Name:

Please enter your Name.

Last Name:

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Title:

Please enter your title.

*Email:

Please enter your Email.Please enter a valid Email.

*Phone:

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Fax:	Please enter your fax number.

*Which region are you applying for partnership?
(Select all that apply):

North America	South/Central America
EMEA	APAC
Japan
Other. Please specify:
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.

*How did you hear about the GuardianEdge Trusted Partner Network? :

Internet	GuardianEdge Partner
GuardianEdge Regional Sales	Public Relations
Advertising / Campaign	Trade Show / Event
Other. Please specify:
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.

SALES INFORMATION

If you are based in North America, into which areas do you currently sell into (select all that apply)?

Northeast/North Central US	Southeast/South Central US
Western US	Canada
Mexico	All of North America
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.

Specify your primary business
(greater than 30% of revenue base):

Distributor	VAR / Reseller
Retail / DMR	System Integrator
Consultant	System Builder
MSP
Other. Please specify:
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.

Estimated annual revenue:

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What is your company's primary revenue generator?

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What is your company's secondary revenue generator?

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The best way to describe our security practice is:

Established
Emerging
Please make a selection. Valid

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Our areas of focus are (chose all that apply):

AV	Firewalls
Intrusion detection/prevention	Encryption
Authentication	Policy
Ethical Hacking
Other
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.

Please list your current product offerings:

Please enter your Comments. Please enter at least 20 characters.

Please describe the services currently provided by your company:

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Do you sell annual support and maintenance for the products you carry?

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Do you offer level 1 support to customers for third party vendor products?

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List the top 5 sources where you purchase software* and / or current distributor(s)?

Please enter your Comments. Please enter at least 20 characters.
*please indicate if you purchase through manufacturers directly

MARKET INFORMATION

When targeting new customers, on what size companies do you focus?

Primary

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Secondary

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When targeting vertical markets, where do you most often focus?

Primary

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Secondary

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What are the top three most important things to you when joining a vendor partner program?

Please Review the Partnership Terms and Conditions

I agree to the terms and conditions*

Please check the terms and conditions checkbox. Minimum number of selections not met. Please check the terms and conditions checkbox.