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Referral Partner Program Application
Referral Partner Program Application
Could you become one of our Referral Partners?
Our Referral Partners often install hardware or software, consult on business applications, develop their own solutions, or sell services. If you are looking for software that runs on the System i and addresses your customers' needs in the areas of automated operations, data access/analysis, security, and programmer productivity, you may be a good candidate for the program. Fill out the form and we'll get back to you!
Company Name:
*
Address:
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City:
*
State / Province:
*
ZIP or Postal Code:
Country:
*
Phone:
*
Fax:
Web site:
Key Contacts
Technical Contact:
*
Technical Contact Phone:
*
Technical Contact E-mail:
*
Sales Contact:
Sales Contact Phone:
Sales Contact E-mail:
Senior Executive Contact:
Senior Executive Contact Phone:
Senior Executive Contact E-mail:
Company Information
Years in business:
Computer hardware supported:
Industry specialty:
Name on application:
Reason that you would like to partner with Help/Systems:
