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Welcome! This is your opportunity to join our worldwide network of resellers as a Visisys Channel Partner. As a Channel Partner, you will enjoy access to all of our technical, marketing, Fields marked with * are required fields. Company Details Company Name * Address 1 * Address 2 City * State/Province * Please Select State Other Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Foundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory (Select "Other" if outside U.S./Canada) Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore &Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas daIndia Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia &Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos(Keeling) Islands Colombia Comoros Congo Congo, Democratic Rep. Cook Islands Coral Sea Islands Costa Rica Cote Ivoire Croatia Cuba Cyprus CzechRepublic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt ElSalvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern & Antarctic Lands Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island &McDonald Islands Honduras Hong Kong HowlandIsland Hungary Iceland India Indian Ocean Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan de NovaIsland Kazakhstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isleof MarshallIslands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of MidwayIslands Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherland Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue NorfolkIsland Northern Mariana Islands Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Lucia Saint Pierre & Miquelon Saint Vincent & the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia &Montenegro Seychelles SierraLeone Singapore Slovakia Slovenia Solomon Islands Somalia SouthAfrica South Georgia& So. Sandwich Isles Southern Ocean Spain SpratlyIslands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad &Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & CaicosIslands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam VirginIslands WakeIsland Wallis &Futuna West Bank Western Sahara The World Yemen Yugoslavia Zambia Zimbabwe Zip/Postal Code * Phone Number * Fax Number Website Address Primary Contact Last Name * First Name * Email Address * Title * Phone Number Extension Technical Contact Last Name First Name Email Address Title Phone Number Extension Role Please Select Reseller Integrator Consultant OEM/ISV Industry Focus * (Check all that apply) Education Facilities Management Financial Services/Insurance Food & Beverage Government Pharmaceuticals/Medical Devices/Health Care Services/Biotechnology High Tech/Media/Telecom Hospitality Manufacturing/Diversified Industrial Retail/Commercial Banks Transportation/Shipping Utilities/Energy/Oil and Gas Other What geographical area do you cover? Number of years in business? 1-2 3-5 6-9 10+ Number of branch offices? Number of employees? 1-5 6-50 51-100 101-1000 1001+ Number of pre-sales support employees? Does your organization provide 24/7 support to your customers? Yes No Do you have demo facilities on-site? Yes No What was your company's revenue last year? What other Intelligent Management products are represented? Please list all product lines as well as products that are represented Brief description of your company Please give us a brief description of your companies core competencies and the strategic fit for Visisys products with your organization. Private policy: This information is used solely for the purpose of your application. Read more about our private policy.
Fields marked with * are required fields.
Company Details
Company Name *
Address 1 *
Address 2
City *
State/Province *
Please Select State Other Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Foundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory (Select "Other" if outside U.S./Canada)
Country *
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore &Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas daIndia Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia &Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos(Keeling) Islands Colombia Comoros Congo Congo, Democratic Rep. Cook Islands Coral Sea Islands Costa Rica Cote Ivoire Croatia Cuba Cyprus CzechRepublic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt ElSalvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern & Antarctic Lands Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island &McDonald Islands Honduras Hong Kong HowlandIsland Hungary Iceland India Indian Ocean Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan de NovaIsland Kazakhstan Kenya Kingman Reef Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isleof MarshallIslands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of MidwayIslands Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherland Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue NorfolkIsland Northern Mariana Islands Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Lucia Saint Pierre & Miquelon Saint Vincent & the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia &Montenegro Seychelles SierraLeone Singapore Slovakia Slovenia Solomon Islands Somalia SouthAfrica South Georgia& So. Sandwich Isles Southern Ocean Spain SpratlyIslands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad &Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & CaicosIslands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam VirginIslands WakeIsland Wallis &Futuna West Bank Western Sahara The World Yemen Yugoslavia Zambia Zimbabwe
Zip/Postal Code *
Phone Number *
Fax Number
Website Address
Primary Contact
Last Name *
First Name *
Email Address *
Title *
Phone Number
Extension
Technical Contact
Last Name
First Name
Email Address
Title
Role
Please Select Reseller Integrator Consultant OEM/ISV
Industry Focus * (Check all that apply)
Education Facilities Management Financial Services/Insurance Food & Beverage Government Pharmaceuticals/Medical Devices/Health Care Services/Biotechnology
High Tech/Media/Telecom Hospitality Manufacturing/Diversified Industrial Retail/Commercial Banks Transportation/Shipping Utilities/Energy/Oil and Gas Other
What geographical area do you cover?
Number of years in business?
1-2 3-5 6-9 10+
Number of branch offices?
Number of employees?
1-5 6-50 51-100 101-1000 1001+
Number of pre-sales support employees?
Does your organization provide 24/7 support to your customers?
Yes No
Do you have demo facilities on-site?
What was your company's revenue last year?
What other Intelligent Management products are represented?
Please list all product lines as well as products that are represented
Brief description of your company
Please give us a brief description of your companies core competencies and the strategic fit for Visisys products with your organization.
Private policy: This information is used solely for the purpose of your application. Read more about our private policy.
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