Company Information:
Company Name: *
Street Address: *
City: *
State/Province: *
Zip/Postal Code: *
Region: *
--None-- APAC
EMEA
LAT
NAM
Country: *
--None--
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: *
--None-- Executive
Marketing
Sales
Operations/Administration
SE
Professional Services
Customer Support
Job Role: *
--None--
Are you the primary partner contact?
--None-- Yes
No
Primary Partner Contact
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
--None-- Executive
Marketing
Sales
Operations/Administration
SE
Professional Services
Customer Support
Job Role: *
--None--
Partner Signatory Contact
The same as above
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
--None-- Executive
Marketing
Sales
Operations/Administration
SE
Professional Services
Customer Support
Job Role: *
--None--
Partner Marketing Contact
First Name: *
Last Name: *
Business Email Address: *
Job Title: *
Contact Telephone: *
Business Function: *
--None-- Executive
Marketing
Sales
Operations/Administration
SE
Professional Services
Customer Support
Job Role: *
--None--
Do you have a Silver Peak opportunity pending? *
--None-- Yes
No
What were your total annual sales revenues last year?*
--None-- Below 500 thousand USD
500 thousand to 1 million USD
1 million to 5 million USD
5 million to 10 million USD
10 million to 50 million USD
Above 50 million USD
Please indicate the number of employees in your organization:*
--None-- 1–5
6-15
16-25
26-50
51–100
101–1,000
1,001–5,000
More than 5,000
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: *
Banking
Education
Energy, Oil/Gas & Natural Resources
Financial Securities
Healthcare
Insurance
Manufacturing
Media, Internet & Entertainment
Software/IT enabled Services
Pharmaceuticals
Retail
Telecomunications
Transportation
US Federal Government
US Local Government
Non-US Government
Other
Banking
Education
Energy, Oil/Gas & Natural Resources
Financial Securities
Healthcare
Insurance
Manufacturing
Media, Internet & Entertainment
Software/IT enabled Services
Pharmaceuticals
Retail
Telecomunications
Transportation
US Federal Government
US Local Government
Non-US Government
Other
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? *
--None-- Yes
No
Do you provide technical support? (choose all that apply) *
Telephone support
Online support
On-site engineers
Not Applicable
Telephone support
Online support
On-site engineers
Not Applicable
What is your primary target market size? *
--None-- Very Small (1-99 employees)
Small (100-999 employees)
Mid Market (1000-50000 employees)
Enterprise (above 50000 employees)
Please indicate your marketing offerings availability: (choose all that apply) *
Dedicated Marketing Resource
Multi-touch Strategic Marketing
Commitments to Marketing Funding
Not Applicable
Dedicated Marketing Resource
Multi-touch Strategic Marketing
Commitments to Marketing Funding
Not Applicable
Please indicate if you are an authorized partner of one of the following: (choose all that apply) *
Aruba
Cisco
Citrix
Dell/Ecologic/EMC
Infoblox
Microsoft
Nutanix
Riverbed
VMWare
Zscaler
Not Applicable
Aruba
Cisco
Citrix
Dell/Ecologic/EMC
Infoblox
Microsoft
Nutanix
Riverbed
VMWare
Zscaler
Not Applicable
Do you integrate cloud solutions with any of the vendors listed above? *
--None-- Yes
No
Of the vendors selected above, which do you integrate cloud solutions with?
*
Aruba
Cisco
Citrix
Dell/Ecologic/EMC
Infoblox
Microsoft
Nutanix
Riverbed
VMWare
Zscaler
Not Applicable
Aruba
Cisco
Citrix
Dell/Ecologic/EMC
Infoblox
Microsoft
Nutanix
Riverbed
VMWare
Zscaler
Not Applicable
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.