Please complete the following form. This form will automatically be sent to a dbaDIRECT representative, who will contact you for additional information. We appreciate your interest in dbaDIRECT's Partner Program

If you would like further details about dbaDIRECT's partner program, call dbaDIRECT toll-free at 877-687-3227 or email partnerinfo@dbadirect.com

Name

Title

Company Name

Address1

Address2

City

State/Province

State (if outside US)

Zip Code

Country

Telephone

Email

1. For how many years has your company been established?

Choose a Answer 1 Year 2 - 5 Years 6 - 10 Years greater than 10 Years

2. What is the total number of Employees in your company?

Choose a Answer less than 10 11 to 50 51 to 100 greater than 100

3. What is the total number of employees that will be dedicated to sales? *

Choose a Answer less than 5 6 to 10 greater than 10

4. What is your organization's gross annual revenue?

Choose a Answer $0 - $500,000 $500,000 - $1M $1M - $5M $5M - $10M $10M - $25M $25M - $100M

5. In what type of business does your organization specialize? * (check all that apply)

Application Service Provider

System Integration

Software Reseller

eCommerce

Internet Service Provider

Internet Data Center

6. In what type of industry does your organization specialize? *

7. List the certifications or expertise your company holds. (i.e.. Oracle, BMC, Cisco)

8. Who are your primary competitors?

9. Are you currently or have you ever been involved in a partner program? 

Yes No

  If Yes, with

10. How do you currently market your product/service offerings? (check all that apply)

Inside Sales

Distribution Channels

Tradeshows

If other, please specify:

* = required field