Partner Application Form

Please be sure to fill out the entire application, as it cannot be processed if incomplete. Enter "N/A" for fields items that do not apply to you or your company.

Company Information
First Name
Last Name
Title
Company Name
Organization or Department
Address
City
State/Province
Postal Zip Code		Country
Phone No.
Phone Extension		Fax No.
E-Mail Address
Company URL
Headquarters (if different from above)
Parent Company Name
Address
City
State/Province
Postal Zip Code		Country
Phone No.
Corporate Information
Federal Tax ID Number
Resale Certificate Number
Doing Business As
Number of Employees
Total Annual Revenue
Other Information
1. What is the core business of your company?
2. What NAS solutions do you currently sell?
3. What geographic area do you target?
4. Does your company specialize in vertical markets? If so, which ones?
5. How many employees will be dedicated to NetEngine products?
6. Which trade shows do you attend or exhibit?
7. Which channel and trade publications do you read?
8. How did you hear about the NetEngine Partner Program?
Account Settings (used to log-in to online partner benefits)
Your User ID is the same as your email address.
Create a Password
Choose a security question in which the answer is easy to remember. (You will be asked this to retrieve forgotten password.)		Choose One What is the name of your first pet? In what city were you born? What was the make of your first car? Who is your favorite person in history, dead or alive? Who was your favorite teach in school
Your answer to the security question. (This is cap- and space-sensitive)