Company * :

Name * :

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You are interested in:*

System Integration OEM Reseller program Applications Partners

Describe your service/products your company provides and the Target Market:

List 3 opportunities, which you will bring to Infozech through this Partnership.

(1)

(2)

(3)

List 3 opportunities, which you would like to access by partnering Infozech.

(1)

(2)

(3)

In order for Infozech to process your application successfully, also fill the following, for us to understand your company better. Thank You.

What is the size of your company?

Annual Revenue ($):             

Number of employees:

What territories does your business cover? Please list countries.

North America Latin / South America Asia Europe Middle East / Africa

Please list your product(s)

Who are your target customers?

What is your total number of customers?

Please list your top three customers.

(1)

(2)

(3)