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Partners Profile Form

* indicates mandatory filed
1. * Company Name :
2. * Mailing Address: :
  * City :
  * State/Province :
  * Postal Code :
  * Country :
3. * Primary Contact :
  * Title :
  * Phone :
(ex. 0124-11223344/55, 0124-22334455)
  * Fax :
(ex. 0124-11223344/55, 0124-22334455)
  * Email :
4. Marketing Contact :
  Title :
  Phone :
(ex. 0124-11223344/55, 0124-22334455)
  Fax :
(ex. 0124-11223344/55, 0124-22334455)
  Email :
5. Technical Contact :
  Title :
  Phone :
(ex. 0124-11223344/55, 0124-22334455)
  Fax :
(ex. 0124-11223344/55, 0124-22334455)
  Email :
6. Sales Contact :
  Title :
  Phone :
(ex. 0124-11223344/55, 0124-22334455)
  Fax :
(ex. 0124-11223344/55, 0124-22334455)
  Email :
7. Press Contact :
  Title :
  Phone :
(ex. 0124-11223344/55, 0124-22334455)
  Fax :
(ex. 0124-11223344/55, 0124-22334455)
  Email :
8. Please indicate where you have offices located throughout the world. (Check all that apply.)
United States Canada Japan
Latin America Europe, Middle East, Africa Asia, Pacific
Other office locales:
9. * Primary business type(s): (Check all that apply.)
ISV ISP ASP Systems Integrator
Other business type(s):
10. Number of employees :
11. Does your company belong to any other alliance programs? (Check all that apply.)
Microsoft Forefront CheckPoint Cisco Citrix Novell
Oracle Verisign      
Other programs:
12. Please indicate the vertical market(s) that are your primary focus: (Check all that apply.)
Aerospace and Defense Automotive Chemicals Communications
Consumer Products Education Financial Services Healthcare
High Tech Pharmaceuticals Public Service Retail
Other vertical markets:
13. * Which of our products do you currently have interoperability with? (Check all that apply.)
Net-Gateway mISA Net-Gateway mISAE Net-Gateway IAG Net-IPS Net-Equalizer
Net-Store        
14. Please briefly describe how your products are interoperable with ours (50 words):
15. How does your company currently distribute its products? (Check all that apply.)
Reseller Directly to end users Distributors
16. Please indicate your top three marketing mediums and/or methods:
Advertising Collateral Direct mail Email blasts
Newsletters Online seminars Seminars Trade shows
Other methods:
17. * Demo products desired: (Check all that apply.)
Net-Gateway mISA Net-Gateway mISAE Net-Gateway IAG Net-IPS Net-Equalizer
Net-Store        
18. * Please include your company's URL :
(ex. http://www.nAppliance.com)
Please enter the number as shown in the box :

Please make sure your application is complete before submitting.
 
 
 
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