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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
Email

 
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
Email

Business Development/Alliance Contact
Name
Phone
Fax
Email
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