Company Information:
Company Name: *
Street Address: *
City: *
State/Province: *
Zip/Postal Code: *
Region: *
Country: *
Website: *
Email Domain Used (domain associated to the partner account, ex: @company.com) *
Company Phone: *
Years in Business: *
Your Contact Information
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
Job Role: *
Are you the primary partner contact?
Partner Signatory Contact
The same as above
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
Job Role: *
Partner Marketing Contact
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
Job Role: *



Do you have a Silver Peak opportunity pending? *
What were your total annual sales revenues last year?*
Please indicate the number of employees in your organization:*

Please indicate the number of sales personnel in your organization: *
- Outside Sales: *
- Inside Sales: *
- Sales Engineers (application/hardware): *
Please specify the TOP 3 industries you are re selling into: *
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Remove
Please specify what percentage of your business is: (total should be 100%)
- Product Sales: *
- Services Sales: *
- Consulting Sales: *
Do you provide your own brand of professional services? *
Do you provide technical support? (choose all that apply) *
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Remove
What is your primary target market size? *
Please indicate your marketing offerings availability: (choose all that apply) *
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Remove
Please indicate if you are an authorized partner of one of the following: (choose all that apply) *
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Remove
Do you integrate cloud solutions with any of the vendors listed above? *
Of the vendors selected above, which do you integrate cloud solutions with? *
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Remove
Distributor of Choice: *
Tax ID Number: *
By submitting this application, the applicant is requesting Silver Peak's approval to procure Silver Peak products from a local Silver Peak authorized distributor. The applicant acknowledges that Silver Peak may grant or withhold this approval in its sole discretion and, once granted, may terminate its approval for any reason upon thirty (30) days advance written notice. Upon termination of Silver Peak's approval, the applicant will no longer be authorized to procure Silver Peak products and will immediately cease use of all Silver Peak material, including but not limited to Silver Peak products, marketing material and Silver Peak trademarks.