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 *
Country *
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? *