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Partnership Inquiry

ShaoLin Channel Partners

Application Form

Thank you for your interest in the ShaoLin Channel Partner Program. Please answer all questions and complete all fields with valid date.

Product(s) Interested :	ShaoLin Aptus ShaoLin CogoFS ShaoLin InfiniCluster ShaoLin Load Balancer

Company Information
Company Name :
Address :

City :
State / Provence :
Postal / Zip Code :
Country :
Main Telephone :
Main Fax :
Company E-mail :
Website :

Contact Information
Primary Contact :
Position :
E-mail :
Telephone :

President / CEO Name :
E-mail :
Telephone :

Business Descriptions
Company Type :	Public Private
Date Established :	(DD/MM/YYYY)
Additional Office Locations :
Company Size :	Number of Full-time Employees
	Number of Sales and Marketing Staff
	Number of Technical Support Staff
Business Model :
Distributor Retailer Consultant Valued Added Reseller System Integrator Other (Please specify)
Estimated Company Annual Revenue (US$) :
$250,000 or less $250,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $2,000,000 $2,000,000 - $5,000,000 over $5,000,000
What percentage of your revenue is derived from? (Total should be 100%)
Hardware sales % Software sales % Custom Software Development %
Services % Consulting % Training % Maintenance & Support %
Other (Please specify) %
Geographic target(s) for promoting ShaoLin products :

List your target markets and the percentage of your revenue they represent :
1st Target market : Percentage : %
2nd Target market : Percentage : %
Size of target customers : (Check all that apply)
1 - 50 employees 51 - 250 employees 251 - 1000 employees 1000 - 5000 employees over 5000 employees
Type of marketing or promotional activities that your company use : (Check all that apply)
Printed advertising Web/online advertising Brochures distribution E-mail broadcast Fax broadcast Direct mailing/Newsletter Tele-marketing Seminars/Workshop Conference/Forum Tradeshows/Exhibitions Other (Please specify)
Please describe the major products (with vendors) which your company selling :

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