Partner Sign-up Form

Partner Sign-up Form
Your Details
Title:
First Name: *
Last Name: *
E-Mail: *
Web Site:
Telephone: *
Fax:
Your Address
Company: *
Address 1:
Address 2:
Postal Code:
City:
Country: *
Region / State: *
Marketing Information
Title:
Name:
E-Mail:
Telephone:
Technical Information
Title:
Name:
E-Mail:
Telephone:
Company Information
Year Company Established:
No. Employees:
No. Offices:
Primary Business Regions:
Central & Latin America Middle East/Africa
Europe Asia Pacific
Central & Latin America
Please specify the number of employees you have for each function.
Sales Representatives:
Field Sales Representatives:
Technical Support Engineers:
Pre-Sales Engineers:
System/Network Engineers:
What is your company's annual revenue in US dollars?
2007:
2006:
2005:
What is your company's business model?
Valued added reseller
System integrator
Service provider/WISP
Distributor
Consulting
OEM
Other:
What is your companys Vertical Market Focus?
Federal Government
State/Local Government
Voice over IP
Education
Service provider (telcos, ISPs, etc)
Hospitality/conference centers
Factories and warehousing
Multi-dwelling residential complexes
Transportation (airports, train stations, harbors)
Other:
What is your company's technology/solution specialization?
Internet/data networking
Wireless WAN/LAN
Voice over IP
Security
Load balancing
Other:
What are your key reference accounts by industry?
Current Product Offerings

Please specify any comparable products in your portfolio:

Please specify any complementary products in your portfolio:

Please list other major products and brands in your portfolio:

What unique added-values do you offer to your customers?

Technical Service

Do you provide:

Turnkey wireless systems
Software development
Network integration
Voice over IP

Please provide summary of your technical experience:

Business & Cooperation Opportunities

Which PePLink Product(s) are you most interested in and how do you see their business potentials in your serving markets?

Product Quarterly business forecast
(in terms of quantity sold)
PePWave Surf
PePWave Surf DX
PePWave CarFi
PePWave TrainFi
PePWave PolePoint
PePWave Mesh Connector
PePWave Surf AP Outdoor
PePWave Mesh Connector Outdoor
PePWave PolePoint Outdoor
PePWave True Address Gateway
Surf and Balance Combo
PePWave LongBeam
PePWave Fiberglass Omni Antenna
PePWave PoE Injector
9dBi Antenna Upgrade
Any additional comments or questions?

Thank you for taking the time to complete our channel partner data form!