AISN Partner Programs

Partner Sign Up Form

Contact Information:
*First Name:	*Last Name:
*Title:
*Office Phone:
Cell Phone:
*Email Address:

Company Information:
*Company Name:
Federal Tax ID #:	-
*Company Web Address:

Company Profile:
	We are a Sharepoint Developer		We are a Dynamics CRM Provider
	We are a Managed Services Provider		We are a Systems Integrator
	We have an outbound sales force

	Number of Employees		Number of Salespeople

Specific Industries / Markets You Serve:
	Accounting		Advertising / PR firms
	Aerospace		Agriculture / Forestry / Fishing
	Banking / Financial / Securities		Commercial
	Communications (telecom, radio, TV)		Construction
	Education		Engineering / Sciences
	Government		Hospitality
	Transportation		Insurance
	Legal Services		Manufacturing
	Medical		Non-Profit Organizations
	Printing / Publishing		Public Utilities
	Real Estate		Research
	Retail		Wholesale Distribution
	Other		No Industry Specialization

Services Provided by Your Company:
	Application System Design		Configuration
	Consulting		Data Center Construction
	Data Center Implementation		Managed Services
	Security Consulting / Services		Business Continuity / DR Services
	Financing / Leasing to End Users		Help Desk
	Implementation Support		Maintenance
	SaaS		Network Design
	Network Installation		Network Integration
	Network Management		Project Management
	Remote Processing		Software Customization
	Software Development		Systems Analyst
	Systems Integration		Training
	Other

Areas of Interest:
	We are interested in Referral Partnership
	We are interested in Reselling Co-Branded Services
	We are interested in Reselling Private Label Services

Partner Agreement:

I Accept and I am authorized to execute this agreement on behalf of my company.

Non-Disclosure Agreement:

I Accept and I am authorized to execute this agreement on behalf of my company.