Partners - Authorized Reseller

*Name:		*Phone:
*Company:		*Email:
*Address:		*State/Province:	select an option Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*City:		*Zip:
*Website:	(example: www.website.com)

*Note: Required fields.

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What is your primary line of business? (Select One)

Networking Solutions Provider
Storage Solutions Provider
Corporate Solutions Provider
Reseller
Government Reseller
VAR
Integrator
Software Solutions Provider
Other

Which storage technologies do you sell? (Select all that apply)

RAID
Tape Libraries
Optical/CD/DVD
Storage management software
Network attached storage (NAS)
Storage area networks (SAN)

What is your annual revenue?

<1M
1-5M
5-10M
10-25M
25-100M
100-500M
>500M

What percent of your annual sales is derived from storage products? (Select one)

0-10%
11-20%
21-30%
31-40%
41-50%
51-60%
61-70%
71-80%
81-90%
91-100%

Which storage manufacturers products do you resell? (Select all that apply)

ADIC
ATL
Dot Hill
EMC
HDS
HP
IBM
JMR
LSI
Network Appliance
Nexsan
Overland Storage
Qualstar
Quantum
Spectralogic
StorageTek
Xyratex

Other:

From which distributors do you purchase storage hardware?

Bell Micro
Condre Storage
Ingram Micro
Promark
Tech Data
PacData

Rank your top 3 vertical markets in order of importance to your company's sales. (or select your top three vertical markets)

Number 1: Select OneDatacomFinancial Services/Accounting/BankingEducationEngineering/ScientificFederal GovernmentState/Local GovernmentHealth Care/Medical/Dental/PharmacyInsuranceISPLegalManufacturingReal EstateRetailTelecommunicationsOther

Number 2: Select OneDatacomFinancial Services/Accounting/BankingEducationEngineering/ScientificFederal GovernmentState/Local GovernmentHealth Care/Medical/Dental/PharmacyInsuranceISPLegalManufacturingReal EstateRetailTelecommunicationsOther

Number 3: Select OneDatacomFinancial Services/Accounting/BankingEducationEngineering/ScientificFederal GovernmentState/Local GovernmentHealth Care/Medical/Dental/PharmacyInsuranceISPLegalManufacturingReal EstateRetailTelecommunicationsOther


What size/type of organizations does your company sell to or service? (select the highest level)

Fortune 500/1000
1000 or more employees
500-999 employees
100-499 employees
Less than 100 employees
None of the above

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I agree with the PAC Data Authorized Reseller Terms & Conditions.