KOM Networks - KOMunity Solution Provider Program Application Form
 

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KOMunity Solution Provider Program Application Form

NOTE: Fields marked with a * are required.
Company Information
Company*
Address*
City*
State/Province
Zip/Postal Code*
Country*
Phone*
Fax
Web address
Primary Contact (Receives Starter Kit):
Name*     Title*
Phone and (ext.)*     Fax
Email*
How did you learn about KOM Networks Products:
Web Search Magazine Article
 Referral Advertisement
Other:  
Business Information
How long have you been in business?
Type of Business?
Business Type:
    Consultant Developer Distributor  
    OEM Service Bureau Systems Integrator  
    Trainer VAR / Reseller Other  
If you selected "Consultant" or "Other", please provide details:
Geographic area your organization serves
US: Northeast Northwest Midwest Southeast Southwest
International: Canada Latin America
Asia Pacific Europe
Africa Middle East
What overall percentage of your business is:
%  Commercial %  Educational
%  Federal Government           %  State and Local Government
 
Estimate approximate annual revenue (US Dollars in Millions) for your organization:
$  Software Sales  $  Hardware Sales  $  Training 
$  Service Bureau  $  Systems Integration  $  Other 
$  Total 
Please list total annual revenue for last two years (US Dollars in Millions):
$  Last Year   $  Two (2) years ago
Please list the number of employees per category:
  Management   Tech Support   Sales
  Consulting   Administration   Marketing
  Sales Engineers   Training   Total
 
Of the number above, please list those employees per category dedicated to storage and content management:
 Sales  Integration  Marketing
 Technical Support   Sales Engineers
Target Markets
What vertical markets does your organization target? (check all that apply)
Accounting Automotive Communications
Education Federal Government Financial
Healthcare Insurance Legal
Manufacturing Oil / Energy Publishing
State / Local Government Transportation Utilities
Other(s)  
 
Which of the following KOM Networks Solutions is your company interested in selling? (check all that apply)
KOMpliance    
KOMworx Enterprise OptiServer OptiFile
KOMworx Optistorm  
 
Vendor Partnerships
What other vendor storage software are you authorized to sell? (check all that apply)
CA EMC HP Legato
Pegasus Tivolli Veritas
Other(s):  
 
What other vendor applications are you authorized to sell? (check all that apply)
Adobe Cardiff Documentum Eastman
Filenet Gauss Hyland IBM
IMR Input J.D. Edwards Kofax
Lotus Macromedia Microsoft Microsystems
NovaSoft OpenText Optika Oracle
PeopleSoft Saperion Tower TMS Sequoia
Other(s):  
 
What other vendor hardware products are you authorized to sell?
ADIC ASACA DISC EMC
HDS Hitachi HP IBM
JVC Kubota LSI Maxoptix
NSM Panasonic Pioneer Plasmon
Ricoh StorageTek Sony SUN
Other(s):   
 
Which distributor(s) do you currently do business with:
Arrow Electronics Access Graphics Avnet Bell Micro
Compucom Cranel GE Access Ingram Micro
Merisel New Wave Optical Laser Synnex
Tech Data Trident Tek
Other(s)  
 
Please list the top three distributors your company purchases storage and content management products from:
1.
2.
3.
What platforms do you sell and which are you certified to sell? (check all that apply)
HP OpenVMS HP Tru64 HP-UX IBM AIX
MacOS Novell NetWare SGI Irix Sun Solaris
Windows 2000 Windows 2003 Windows NT Windows XP
Other(s)  
What databases and applications do you sell and which are you certified to sell? (check all that apply)
cc:Mail DB2 Informix
Lotus Notes MS Exchange MS SQL Server
MySQL Oracle SAP
Sybase
Other(s)  
 
Additional Contact Information
Primary Sales Contact
Name Email
Phone  Ext. Fax
 
Primary Technical Contact
Name Email
Phone  Ext. Fax
 
Primary Marketing Contact
Name Email
Phone and (ext.)  Ext. Fax
 
Primary Training Contact
Name Email
Phone and (ext.)  Ext. Fax
 
References
Please list one customer reference that is currently using your company's skills in providing storage and content management solutions:
Company Contact
Address Phone
City, State, Zip Fax
Country
 
 
  Security Code *       

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