OrgPlus Partner Application

Please take the time to answer these questions completely and accurately. The information you provide will be held as confidential.

Business Name
Address
City, State Zip
Website
Year Founded
Number of Employees

Primary Contact

Name *
Title
Phone
Fax
E-mail *

What does your company do (check all that apply):

3rd party software reseller If checked, do you purchase through distributors?
 Software Developer/Provider:
Systems Integrator Consulting Services

Vertical Market Focus:

No Vertical Focus Healthcare
Education Government
Retail Hospitality
Manufacturing High Tech
Other:

Geographic Focus:

North America South America
EMEA APAC
Other:

Customers

Number of Customers
Average Company Size
Annual Sales Volume$ 

What prompted you to inquire? *