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Please fill out and submit the online form below or click here for a downloadable pdf version:
Company Information
Company Name
Sales Tax ID#
Reseller ID#
Organization
Corporation
Partnership
Subsidiary
Sole Proprietorship
DUNS #
Year Established
Mailing and Billing Address
Address
City
State
Select State
Outside US
-------------
AK - ALASKA
AL - ALABAMA
AR - ARKANSAS
AZ - ARIZONA
CA - CALIFORNIA
CO - COLORADO
CT - CONNECTICUT
DC - WASH DC
DE - DELAWARE
FL - FLORIDA
GA - GEORGIA
GU - GUAM
HI - HAWAII
IA - IOWA
ID - IDAHO
IL - ILLINOIS
IN - INDIANA
KS - KANSAS
KY - KENTUCKY
LA - LOUISIANA
MA - MASSACHUSETTS
MD - MARYLAND
ME - MAINE
MI - MICHIGAN
MN - MINNESOTA
MO - MISSOURI
MS - MISSISSIPPI
MT - MONTANA
NC - NORTH CAROLINA
ND - NORTH DAKOTA
NE - NEBRASKA
NH - NEW HAMPSHIRE
NJ - NEW JERSEY
NM - NEW MEXICO
NV - NEVADA
NY - NEW YORK
OH - OHIO
OK - OKLAHOMA
OR - OREGON
PA - PENNSYLVANIA
RI - RHODE ISLAND
SC - SOUTH CAROLINA
SD - SOUTH DAKOTA
TN - TENNESSEE
TX - TEXAS
UT - UTAH
VA - VIRGINIA
VT - VERMONT
WA - WASHINGTON
WI - WISCONSIN
WV - WEST VIRGINIA
WY - WYOMING
PostCode
Country
Shipping Address if different than above
(No PO. Boxes)
Address
City
State
Please Select State
Outside US
-------------------
AK - ALASKA
AL - ALABAMA
AR - ARKANSAS
AZ - ARIZONA
CA - CALIFORNIA
CO - COLORADO
CT - CONNECTICUT
DC - WASH DC
DE - DELAWARE
FL - FLORIDA
GA - GEORGIA
GU - GUAM
HI - HAWAII
IA - IOWA
ID - IDAHO
IL - ILLINOIS
IN - INDIANA
KS - KANSAS
KY - KENTUCKY
LA - LOUISIANA
MA - MASSACHUSETTS
MD - MARYLAND
ME - MAINE
MI - MICHIGAN
MN - MINNESOTA
MO - MISSOURI
MS - MISSISSIPPI
MT - MONTANA
NC - NORTH CAROLINA
ND - NORTH DAKOTA
NE - NEBRASKA
NH - NEW HAMPSHIRE
NJ - NEW JERSEY
NM - NEW MEXICO
NV - NEVADA
NY - NEW YORK
OH - OHIO
OK - OKLAHOMA
OR - OREGON
PA - PENNSYLVANIA
RI - RHODE ISLAND
SC - SOUTH CAROLINA
SD - SOUTH DAKOTA
TN - TENNESSEE
TX - TEXAS
UT - UTAH
VA - VIRGINIA
VT - VERMONT
WA - WASHINGTON
WI - WISCONSIN
WV - WEST VIRGINIA
WY - WYOMING
PostCode
Country
Contact Information
Primary Phone #
Fax #
Website URL
Principal Contact
Title
Email
Business Profile
What is your approximate annual sales revenue
x
K
M
B
Must select K,M,B
Number of sales reps
What percentage of total revenues is contributed by the following items?
Hardware Sales
Help Desk/Online Support
Software Sales
Network Installation/ Support
Services
Consulting
Software Development
Training
Which of the following best describes your primary business?
Storefront/Retail
Reseller
VAR
Online Reseller
Software Developer
Systems Integrator
Consultant
Software Integrator
Network Integrator
Target Customer Size
SMB (1-100)
Medium (100-2,000)
Enterprise (2,000+)
What other anti-spam solutions does your organization currently sell?
Symantec
Proofpoint
SC/IronMail
Other (enter below)
Barracuda
Postini
Cisco/IronPort
Enter Code
supercilious
supercilious
supercilious
supercilious