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Contact Information

Company______________________________________________________________________________

Address_______________________________________________________________________________

City___________________________________________________________________________________

State/Province______________________ Zip/Postal Code_________________ Country_______________

How long have you been at this location?_________________

When was your organization established?________________

If you have a Web site, please indicate the URL:_________________________________________


Sales/Marketing Contact

Name___________________________________Title__________________________________

phone___________________________________Fax____________________________________

Email___________________________________


Technical Contact

Name___________________________________Title__________________________________

phone___________________________________Fax____________________________________

Email___________________________________


Describe your Organization's mission including business expertise and market segment focus.

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Organization Type: Partnership Proprietorship Corporation Other:______________________

Gross Sales: Less than $1 million $1-5 million $6-10 million $11-50 million $51-100 million Over $100 million

Type of Business: Internet Service Provider VAR Marketing Communications Consultant
Multimedia Consultant Software Developer Hardware Manuf. Other:______________________

Number of Customers: Less than 10 11-50 51-100 101-500 Over 500

In the space provideed indicate the number of current full-time employees in your company:

Executives/Management_______

Sales_______

Technical Support_______

Education/Trainers_______

Other_______

Total employees_______


Which products does your organization currently sell?

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For what products are you currently authorized to provide training?

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In what geographic area do you focus your business activities?

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Describe your territory strategies including sales rep coverage?

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Describe your target customer profiles(s) including industry, application, size of company and professsion.

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What types of knowledge and expertise does your team provide to help these types of customers

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What other unique advantages or capabilities does your organization provide to your customers?

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Describe the awareness building and lead generation activites you currently perform.

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Describe the marketing activities your organization will conduct as a MarketScape Solution Partner and how often each of these activities will occur.

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Describe the technical support programs products/services you offer.

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What types of assistance would you require to become a successful MarketScape Solution Partner?

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Please provide three customer references where your organization has sold WWW, CD-ROM or multimedia tools:

Name:_____________________________________________________

Organization:_______________________________________________

Product(s) Sold:_____________________________________________

Telephone:_________________________________________________

Email:_____________________________________________________


Name:_____________________________________________________

Organization:_______________________________________________

Product(s) Sold:_____________________________________________

Telephone:_________________________________________________

Email:_____________________________________________________


Name:_____________________________________________________

Organization:_______________________________________________

Product(s) Sold:_____________________________________________

Telephone:_________________________________________________

Email:_____________________________________________________


Please submit this application to:
Channel Marketing Manager
MarketScape Inc.
5475 MarkDabling Blvd., Suite 210
Colorado Springs, CO 80918
FAX +1-719-532-0165

Company Name:____________________________________________

Name (Please Print):_________________________________________

Title Please Print):___________________________________________

Signature:__________________________________________________

Date:______________________________________________________

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