Thank you for your interest in the Express Metrix Partner Program. Acceptance into the Express Metrix Business Partner Program will entitle you to full benefits of the Program, including access to the Partner Web.

Application Process

1. Review and confirm that you meet the eligibility requirements.
   
   
2. Complete all required fields (*) in the form below so that we can process your application.
   
   
3. Your acceptance into the Program and confidential access codes will be confirmed via e-mail in approximately two (2) business days.
   
   

Contact Information
*Title:
*First name:
Middle name:
*Last name:
Job title:
*E-mail:
*Business Phone Number:	Ext:
Business Fax Number:
*Company:
*Address1:
Address2:
Address3:
*City:
*State/Province:
*Zip/Postal code:
*Country:
Company URL:

Company Details

Tell us about your company.

*Type of Business

Please select the model that best reflects the majority of your business.

Distributor Solutions Integrator Reseller Network Integrator Corporate Reseller Internet Integrator Online Reseller In-house Integrator Government Reseller Web Hosting or ASP OEM Independent Software Vendor Application Developer Software Consultant

Description of services provided by your company:

*Primary countries where you do business:

*Total number of employees: *Number of sales people: *Number of technical people: *Years in business: *Number of offices worldwide: *Offices in U.S.:

Vertical Markets Served: Healthcare Retail Finance Telecommunications Government Utilities Manufacturing Education   Other:

Sales

*Current annual sales volume (in US$):

Percentage of revenue related to

Hardware: Software: Services:

List My Company Please make my company name, address, phone number, and company description available in Express Metrix's online reseller directory for end-users.

Your Interest In Express Metrix

Please indicate your primary areas of interest.

Software License Compliance Asset Management Auditing Services Migration Planning (hardware or software)

*Primary Role

Please select your job function within your organization. General Sales Marketing Order Processing Technical