Objectworld Communications - Reseller Application Form

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Reseller Application Form

Thank you for your interest in becoming an Objectworld Authorized Reseller. Please fill out the following form in full and an Objectworld Channel Manager will contact you to follow up. (Note: all fields marked with an asterisk * are required)

Please indicate the product(s) you would like to resell:
Objectworld UC Server® SIP Edition Objectworld UC Server® Standard Edition Objectworld UC Server® CEBP Edition
Contact Information
First Name:*
Last Name:*
Title:*
E-mail:*
Phone:*
Fax:
Company Information
Company:*
Web Site:
Head Office Location:
Address:*
Address 2:
City:*
State/Province:*
Zip/Postal Code:
Other Office Locations:
Senior Management Contacts
Principal/President/CEO Name:
VP/Director of Sales:
VP/Director of OPs/Services:
Your Business
Please check your company's areas of expertise:
Microsoft Small Business Server Microsoft Windows Server Microsoft Exchange Microsoft SQL Server Database Integration (IVR) Data Networking (LANs/WANs) Telephony VoIP Professional Services
Products/Manufacturers Currently Offered
# Years in Business
Annual Revenue:
# of Current Customers
What % of your revenue comes from:
Small to Medium Sized Businesses?
Large or Enterprise?
Total # of Employees
# of Sales Staff
# of Customer Service Staff
# of Field Technicians
Do you install and service the equipment you sell?	Yes No
If yes, does your installation/service staff carry Microsoft Technical Certification?	Yes No
Are you a Microsoft Certified Partner?	Yes No
How did you hear about Objectworld?
How did you hear about Objectworld?
If Other or Tradeshow, please specify:

Additional Comments

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Contact Information

Company Information

Senior Management Contacts

Your Business

How did you hear about Objectworld?