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Team Site > Partners > Partner Request Form > New Item  

Partners: Partner Application 

 

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Company Name: *
Country: *

Street Address: *
Please enter the street address of your company headquarters.
City/State/Province: *
Please enter the City, State, Province of your company headquarters.
Postal Code: *
Please enter the postal code of your company headquarters.
Phone: *
Phone number and extension if applicable.
Fax:
Fax number and extension if applicable.
Website: *
Primary contact name: *
Who will be your primary contact regarding partnership with Binary Tree?
Primary contact phone: *
What is the phone number for your primary contact regarding partnership with Binary Tree?
Primary contact email: *
What is the email address for your primary contact regarding partnership with Binary Tree?
Technical contact name: *
Who will be your technical contact regarding partnership with Binary Tree?
Technical contact phone: *
What is the phone number for your technical contact regarding partnership with Binary Tree?
Technical contact email: *
What is the email address for your technical contact regarding partnership with Binary Tree?
BEST partner segment:
Please select the BEST partner segment for your company:
Current Practice areas:
Please identify your current Practice areas:
Service delivery coverage area:
Please share your service delivery coverage area (select all that apply): If EMEA or APACJ, please list countries in the next question.
Service Delivery Limits:
Service delivery coverage - Please list countries within your service delivery coverage or identify service delivery limitation specifics (i.e., US West,US Centeral, Eastern Europe, Central Europe, etc.)
Assistance with client opportunity?
Would you like assistance with a pending client opportunity?
Team member name:
Name of team member that you are currently working with (if applicable):
Would you like a training schedule?
For immediate enablement opportunities would you like to receive a CMT University training schedule?
Other comments or information: