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StorageCraft Partner Program Application

*Please Select The Partner Program You Are Applying For:


Applicant Information
  Salutation:
*
 First Name:
*
 Last Name:
*
 Company:
*
 Job Title:
*
 Email Address:
*
 Phone:
  Cell/Mobile:
  Fax:
*
*
 City:
*
 State/Province:
*
 Zip/Postal Code:
*
 Country:


Additional Contact Information
Billing Address (if different than above):
  City:
  State/Province:
  Zip/Postal Code:
  Country:
Marketing/Sales Contact (Full Name):
  Phone:
  Email Address:
Technical Contact (Full Name):
  Phone:
  Email Address:


Business Information
*
 Business Model:
*
 Years in Business:
*
 Approx. Number of Employees:
*
 Number of Customers:
*
 Target Customer Size:
  Target Markets of Focus:
*
 Web Address:
*
 What Distributors Do You Purchase From?
*
 Geographic Coverage:
*
 What Other Backup / DR Solutions Do You Currently Offer Or Implement?
*
 State Tax ID Number:


 Please do NOT email me the bi-weekly Partner Newsletter with the latest information about the StorageCraft Reseller program.
 Please do NOT include my company's web address and phone number in the Partner section of the StorageCraft web site.


 

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