Call: 1-763-475-6676 or 800-797-2772
Email: sales@primera.com
Primera Partner Application
1-763-475-6676 or 1-800-797-2772

*Denotes required field

First Name:*
Last Name:*
Title*:
Company:*
Address:*
Address2:
City:*
State/Province:*
Postal Code:*
Country:*
Phone:*
Fax:
Email:*
Website URL:*
Number of Sales Representives:
Number of Sales Engineers:
What was your company's approximate gross revenue for 2006?
What percentage of your revenue is derived from the following (Total should equal 100%) ?
% Storage Solutions
% Software Sales
% Backup Solutions
% Government or Education
What percentage of your revenue is comprised of the following (Total should equal 100%)
% Macintosh
% Windows
% UNIX_Linux
% Novel_Netware
% Other
If other, please specify.
Which best describes your business function?
If other, please specify.
Which types of backup media and drives do you sell? (Check all that apply)
Tape Drives/Autoloaders/Libraries
Disk drives/Disk Arrays/NAS
Optical – UDO, DVD±R
SAN
Please list your top distributors in order of preference.
1.
2.
3.
How did you hear about Primera?
Magazine Client
Advertisement Distributor
Review Direct Mail
WWW    
Other
What can we do to help you sell OptiVault?
To submit this application, you must agree to the terms and conditions of the Primera Partner Agreement. Please read before submitting.
I agree to comply to the terms and conditions outlined in the Primera Partner Agreement.
 
Copyright 2007