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BECOME A CHANNEL PARTNER
Channel Partner Application
* Fields Required
Company Information
*
Please select the type that best
describes your company.
Please Select
Solutions Provider
Managed/Hosted Service Provider
Technology Partner
Value-Added Reseller
Direct Marketing Reseller
Distributor
System Integrator
Other
*
Company Name
*
Country
*
State / Province
*
Company Mailing Address
*
City
Zip / Postal Code
Website Address
*
Main Phone Number
Fax Number
Brief company description
Contact Information
*
Primary Contact Name
*
Title
*
Phone
Mobile
*
Email Address
Business Information
What is your company's annual revenue (US Dollars)?
What geographical area does your company cover?
Employees
Total Employees
Management
Account Executives
Marketing
Sales Engineers
Support Engineers
Tax Information
(Please complete the section below if your company is headquartered in the United States.)
State of Incorporation (if applicable)
Federal Tax Identification Number
State Identification Number
Please note that upon acceptance into the DataCove Channel Partner Program Tangent Inc. will require copies of your company's resale tax exemption documentation.
Please list the top vertical markets that your company serves.
What is the size of the organization that your company targets?
Please select
5000+ Employees
2000 - 4999 Employees
1000 - 1999 Employees
500 - 999 Employees
250 - 499 Employees
Under 250 Employees
List your key partner relationships, including vendor and program level.
