Home Contact Us Partner Application

Technology Partners Application

Please complete this form in its entirety. Once submitted, AccessIT Group will contact you within 72 hours.

Company: *
First Name: *
Last Name: *
Job Title: *
Company: *
Address: *
City: *
State/Province: *
Zip Code: *
Country: *
Phone: *
Email: *
How many years has your company been in business? *
Please select the number of employees in your company? *
Channel partnerships make up what percentage of your companies’ revenue? *
What are your channel margins for your product? *
What are your channel margins for maintenance of your product? *
What are your channel margins for services for your product? *
Do you currently have an active dealer registration program? If yes, state benefits. *
If Yes, Please describe in detail.
Please briefly describe your company’s solutions and compatibility advantages. *
Please briefly describe your company’s solutions and compatibility advantages.
Does your Product allow for you to sell complimentary services? *
Please list your product strengths and unique points *
Please supply three existing channel partners in the Eastern USA. *
Is a starter kit, demo or evaluation purchase required to become a partner? *
Please type the letters and numbers shown in the image.