ActivSoftware - Tools for Web Developers and IT Professionals

Partner Information

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Become a Partner

General Applicant Information

Company Information:

Company Name

Address

City

State / Province

Zip / Postal Code

Country

Web Site

Application Point of Contact:

Application Contact

Title

Phone

Fax

General Company Info:

Please provide a brief
company overview:

Date company established
(mm/dd/yyyy)

Public or private?

D&B Number (if available)

Number of world-wide customers

Number of world-wide employees

Parent company (if applicable)

Please describe your current in-house ActivSoftware experience

What is your driving interest?

Partnering Information

Please specify value of your organization's sales revenue
(in US Dollars)

2002	$
2003	$
2004 (forecast)	$

2003 Sales revenue breakdown (percentage of total revenue)

Hardware Sales	%
Software Sales	%
Consulting	%
Maintenance & Support	%
Training	%
Other	%

Services Provided

What database products does your company sell or have expertise in?

What operating systems does your company sell or have expertise in?

What programming languages does your company sell or have expertise in?

Which product certifications have your staff obtained (e.g. Cold Fusion, Novell CNE, MS Engineer)?

What other partnership agreements does your company have?

What ActivSoftware products are you interested in reselling?
(check all that apply)


	ActivEdit 4.0
	ActivSpell 2.0
	Activmail 2.0
	Activmailman 1.0

Briefly describe your business objectives for partnering with ActivSoftware. Please indicate any vertical and/or domain expertise that you have. Also include your current pre-sales, implementation and post-sales capabilities.

Key Contacts

President

Name

Phone

Fax

Business Development/Alliance Contact

Name

Phone

Fax