Partner Application

Company Contact Information

All information will be held in strict confidence and is used solely for the purpose of evaluation.

Primary Contact

Company Legal Name *

Doing Business As

Application Contact *

Office Mailing Address *

City *

State/Province *

Zip Code *

Phone Number *

Fax Number

E-mail Address *

Verify Email *

URL

Additional Information

Shipping Address (if different)

City

State/Province

Zip Code

Accounting Contact

Phone Number

Purchasing Contact (Must Be Different From Above)

Phone Number

Marketing Contact (Must Be Different From Above)

Phone Number

Total number of employees *

Approximate number of employees that would see and service

Full-time inside sales people

Full-time pre-sales engineer

Outside Sales People

Post-sales engineeers

Please list software vendors, hardware vendors, consulting firms and/or systems integrators with whom your company has a formal business relationship. Include any existing certificates (i.e., Microsoft Solutions Provider Partner, Cisco certified, Novel Platinum, etc.)

Please list any relevant business relationships and alliances, including anyone you would partner with to solve your customer's end-to-end solution

Please provide a description of value-added services that your company offers (i.e., reseller of software, network integration, custom development, training, installation)

Please provide a list of any products that you sell that might compete with TJS

The statements provided in this application are accurate to the best of my knowledge. I understand and agree to the following:

Completion and return of this application does not constitute acceptance by TJS of the undersiged as a Reseller. TJS reserves the right at its sole discretion to deny authorization for any reason. Failure to sign below will cause delay in application processing. All applications, approvals, and contracts must be complete before you may advertise or represent this location as a TJS Reseller. Note that no binding agreement is formed until TJS has approved you as a Reseller. TJS's approval shall only be indicated by its written notification to you of acceptance.

Name

Date

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Partner Application

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