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Channel Partner Registration Form



Contact Information
First Name:* Last Name:
Email:* Phone:*
Job Title:

Company Information
Company Name:*
 Web URL :
Street Address:
City:
 State:
 Zip:
Country :
What is the total number of employees in your company? 
What was your company's total revenue last year? (US Dollars) 
Which of the following best describes your business? 
How many sales persons are there in your company?  

On which vertical markets does your company focus? (selcet all that apply)
Aerospace  Automotive  Bioinformatics  Chip Manufacturing 
Computer Fluidic Dynamics  Data Processing Services  Database  Digital Content Creation 
Education  Enterprise  Entertainment  Financial 
Gaming  Government/Labs  Insurance/Legal/Real Estate  Manufacturing 
Medical/Healthcare/Dental  Oceanic/Atmospheric  Oil and Gas  Online Retailer 
Pharmaceutical/Biotech/Agricultural  Streaming Media  Transportation/Utilities  Web Hosting 
 Other  (Please specify)

What applications have you recommended with your current product portfolio? (select all that apply)
Blast  Caching Solution  Cadence  E-Commerce Acceleration 
E-Commerce Traffic Management  FASTA  FLUENT  Gamess 
Gaussian  Internet Servers  LANDMARK  LS-DYNA  Mail/Messaging Solutions 
Mentor Graphics  Monte Carlo  NASTRAN  Oracle 
Renderman  Schlumberger  Security Traffic Management 
Seismic  SoftImage  Sybase  Synopsis  Unigraphics 
 Other  (Please specify)

Channel Program Questions
What is the average number of servers sold per month, based on the last 6 months of sales?

What percentage of your server system sales fall into the following price range (in US dollars)?
$0-$2,000:
$2,000-$3,499:
$3,500-$5,000:
>$5,000:

What is your sales region? (select all that apply)
West (Pacific Time Zone)  Central (Mountain & Central Time Zone)  East (Eastern Time Zone) 
Europe, South America  Middle East  Asia 
 Other 

Indicate your company’s product of interest. (select all that apply)
Supercomputing Clusters  Blade Servers  Rack-mount Servers 
Workstations  Storage  Compute on Demand 

What brand(s) is your company selling?
Frist:
Second:
Third:
What kind of O/S do you sell or service? (Please specify)
Frist:
Second:
Third:








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