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Partnership - Be Our Partner



Fill in below form to register as our partner. There will be a qualification process to go through. Our partner manager will be contacting you in person to further know your capabilities and how we can work together.

Your privacy is important to us. Please read our privacy policy.

All fields with an asterisk are required.


Your Information


First Name *
Last Name *
Job Title
Phone Number *
Email Address *


Company Information

Company Name *
Year Established *
URL *
Publicly held? *
Yes No
Major shareholders if private
Primary Lines of Business *
DUNS Number


Headquarters Address


Address *


City *
Country *
Annual Revenues *
Total Employees *


Officer Names


CEO
CTO
VP Business Development
VP Alliances
VP Marketing
VP Sales


Contact Information Directly Relevant to Indended Relationship


Alliance/Partnership Management


Last Name
First Name
Title
Phone Number
Business Email Address


Technical


Last Name
First Name
Title
Phone Number
Business Email Address


Marketing


Last Name
First Name
Title
Phone Number
Business Email Address


Sales


Last Name
First Name
Title
Phone Number
Business Email Address


Business Information


Major partners *
Major competitors *
Bloombase References *
Partnership Benefits *


Customer Base


Customers

Approximate % of revenue by geography


Americas
%
APAC
%
EMEA
%
Greater China
%

 

Approximate % of revenue by industry vertical


Communications
%
Education
%
Financial Services
%
Government
%
Healthcare
%

Manufacturing
%
Media and Entertainment
%
Retail
%
Services
%
Transportation
%
Utilities
%
Other
%

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