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Verio - An NTT Communications Company - Dedicated Hosting
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PARTNER PROGRAMS

Referral Program
Reseller & Government Program
Application
Solution Provider
Lead Pass Form
Channel Partner Landing Zone

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Partner Profile

After receiving your application, an NTT Communications Partner Sales Manager will contact you to discuss the program in more detail. Only qualified companies will be accepted.

Thank you for your interest in the Partner Program. * indicates a required field

Contact Information
* How did you hear about the Partner Program?
* I am interested in becoming a: Solution Provider Reseller Partner Referral Partner
* Company Name: * URL:
* Address: * City:
* State: * Zip:
* Phone: Fax:
 
* Primary Contact: * Title:
* Tel: * E-mail:
Secondary Contact: Title:
Tel: E-mail:
Year Company Founded:
# Employees: # Sales Reps.: # Technicians:
* Gross Annual Revenue Last Year: $
*Projected Gross Annual Revenue This Year: $
Revenue Breakdown
Hardware: % Service/Support: %
Software: % Training: %
Other: % (specify):
Average Transaction Size: $ One-time   Monthly   Yearly
* Customer Base:
Small-Medium Business: %
Retail: % Corporate: %
Government: % Education: %
Other: % (specify):
Average number of new customers added each month:
Number of Customers: 1-24 25-49 50-99 100-299 300+

Business Model:
* Which description best characterizes your business?
Systems Integrator Web Developer Voice/Long Distance Reseller
Marketing Agency ISP Value-Added Reseller
ASP CLEC Systems / Software Sales
Reseller Systems/Software/Internet Consultant
Government Reseller Other (specify):
* What geographic territory does your company market and service?
* Target Market(s): Consumer SOHO Small Fortune 500 Large Mid
 (check all that apply)
Vertical Markets or Market Specialization (specify):

Government Reseller Only
Answer the following questions if you would like to be considered for the Government Reseller Program:
  1. Which contract vehicles does your company currently hold?
  2. Have you sold hosting to the government in the past? Yes   No
  3. Does your organization have direct sales with extensive government agency relationships? Yes   No
  4. Do you anticipate being able to commit to a minimum of $20K annually in monthly recurring hosting sales? Yes   No

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