Purewire Partner Application

Company Information
Company Name:
Company Address:
Company Address (cont.):
City, State:
,
Zip:
Country:
Years in Business:
Contact Name:
Contact Title:
Contact Telephone:
Contact Email Address:

Number of Employees
# of Sales Employees:
# of Engineering Employees:
Total Number of Employees:
Approximate Annual Revenues:

Business Focus

Please describe your business focus.
What percentage of your business is focused on the following? Please fill in all that apply.
# of Clients
% Revenue
Security product sales to Mid Market & Enterprise
Security services sales to Mid Market & Enterprise
%
Managed security services to SMB
%
Managed security services to Enterprise
%
Other, please describe
%


If you provide managed services briefly describe your practice.
How would you envision Purewire fitting into your business strategy? 
What sales expectations would you anticipate from Purewire during our first full year of partnership?

Clients and Partners
Total number of clients:
Active clients:
Target vertical markets served, if any:
Please list your top vendor relationships:
Geographic Focus
Primary geography served:
Secondary or developing geographies served:

 

 

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