Partners Program Application Form

Fill out the form below. Once we have reviewed your application, a Channels Representative will contact you to move forward with the appropriate paperwork.
Information Builders values your privacy.
 
First Name
Last Name
Company
Title
Address
City
State/Province
Country
Zip/Postal Code
Telephone
Fax  
Internet Address (URL)
E-mail
 
In which state or province are you headquartered?
 
Number of sales reps 
Size of your customer base 
Geographic coverage 


What is your company's revenue?
<$1 million
$1 - $5 million
$6 - $10 million
$11 - $50 million
$51 - $100 million
>$100 million

Describe your primary business
System Integrator Consultant   ASP ISV
Application Developer Consultant OEM   VAR  
ISP    
Other  

Programs of interest
Product Recommender
Product Resellers
Subscription Based

Industry expertise (check all that apply):
Banking
Distribution
Education
Entertainment
Finance
Government
Healthcare
Human Resources
Insurance
Manufacturing
Pharmaceutical
Retail
Services
Telecommunications
Transportation
Utility
Other
 
Information Builders products
  Years of experience
FOCUS
Modify
Maintain
WebFOCUS
iWay/EDA

Internet experience (check all that apply):
Internet Intranet Extranet
Electronic Commerce Multimedia Portals
Other  
URLs 
Describe  

Product functionality interest
Reporting (Web) Reporting (C/S) Application Development
Middleware/Integration Warehousing ERP Portal
Mobile & Wireless Information Delivery

Products of interest

Have you created an application? Yes No

Name
Cost in $US
Describe
Products used

What other companies have you partnered with?

How did you hear about us?
Long-time user of Information Builders technology
Seminar
Web Site
Advertisement
Trade Show
Partner Referral
E-mail
Web Search Engine
Article (describe)  

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