Become a Partner First Name* Invalid Input Last Name* Invalid Input Business Phone* Invalid Input E-Mail* Invalid Input Company City/Town* Invalid Input Title* Invalid Input Company Name* Invalid Input Company Address 1* Invalid Input Company Address 2 Invalid Input Company State/Province Invalid Input Company Zip/Postal Code* Invalid Input Company Country* United StatesCanadaAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAngolaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustriaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBrunei BarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral Africa RepublicChadChileChinaChristmas IslandCocos(Keeling)IslandsColombiaComorosCongoCook IslandsCosta RicaCoted'IvoireCroatia/HvatskaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptElSalvadorEritreaEstoniaEthiopiaEuropean UnionEquatorial GuineaFalkland Islands(Malvinas)FaroeIslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGambiaGabonGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuadeloupeGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHolySee(Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaliMaldivesMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayNothern Mariana IslandsOmanPakistanPalestinian TerritoriesPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussian FederationRwandaSt. HelenaSt. KittsandNevisSt. LuciaSt. Pierrea & MiquelonSt. Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbia & MontenegroSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomoliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluUkraineUgandaUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands,U.S.Western SaharaYemenYugoslaviaZambiaZimbabwe Invalid Input If your location is a satellite office or division, please provide the location of your headquarters or parent organization. Company Name Invalid Input Company Address 1 Invalid Input Company Address 2 Invalid Input Company City/Town Invalid Input Company Zip/Postal Code Invalid Input Company Country United StatesCanadaAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAngolaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustriaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBrunei BarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral Africa RepublicChadChileChinaChristmas IslandCocos(Keeling)IslandsColombiaComorosCongoCook IslandsCosta RicaCoted\'IvoireCroatia/HvatskaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptElSalvadorEritreaEstoniaEthiopiaEuropean UnionEquatorial GuineaFalkland Islands(Malvinas)FaroeIslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGambiaGabonGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuadeloupeGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHolySee(Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaliMalivesMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayNothern Mariana IslandsOmanPakistanPalestinian TerritoriesPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussian FederationRwandaSt. HelenaSt. KittsandNevisSt. LuciaSt. Pierrea & MiquelonSt. Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbia & MontenegroSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomoliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluUkraineUgandaUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands,U.S.Western SaharaYemenYugoslaviaZambiaZimbabwe Invalid Input 1. What WinMagic products are you interested in selling? SecureDoc StandaloneSecureDoc Enterprise Server Invalid Input 2. What is your company\'s annual sales? $ USD$ CDN� EuroOther Invalid Input less than 100k101k - 250k251k - 500k501k - 1M1M - 2.5Mmore than 5M Invalid Input 3. What is your sales geography? AfghanistanAlbaniaAlgeriaAmeriscan SamoaAndorraAngolaIAnguillaAntarticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote D\'IvoireCroatiaCubaCyprusCzech RepublicDem Republic of CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland Islands (Malvinas)FijiFinlandFranceFrance (European Territories)French GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuam (US)GuatemalaGuernsey, C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJersey, C.I.JordanKazakhstanKenyaKiribatiKorea, Dem. People\'s Rep ofKorea, Republic ofKuwaitKyrgyzstanLao Peoples Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia (former Yug.)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Fed. States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto Rico (US)QatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSoviet UnionSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.A.E.U.S.Minor Outlying IslandsUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands (British)Virgin Islands (US)Wallis and Futuna IslandsWestern SaharaYemen, Republic ofYugoslaviaZaireZambiaZimbabwe Invalid Input 4. What is your primary business? Please select...DistributorValue-Added ResellerSystems IntegratorWeb DeveloperSoftware ResellerConsultantISPASPMSP Invalid Input 5. Security Vendor\'s Products ActivIdentityCheck PointCiscoCompaqComputer AssociatesFortinetHPJuniperMcAfeeMicrosoftRSASafenetSecureComputingSonicWALLSymantecTrend MicroVASCO Invalid Input Unlisted Vendor Products: Invalid Input 6. How many employees at your location? 1-56-1516-5051-100101-250more than 250 Invalid Input 7. How many employees in the entire organization? 1-56-1516-5051-100101-250more than 250 Invalid Input 8. Has your company achieved any certification with any of the following companies? AlcatelAvayaCheck PointCiscoHPIBMJuniperLucentMicrosoftNovellSunOther Invalid Input Unlisted Certifications: Invalid Input 9. What distributors are you currently working with? Invalid Input 10. Which category best describes your typical customer profile? 1-500 users501-1000 users1001-5000 usersmore than 5000 users Invalid Input 11. What markets do you specialize in? Financial ServicesFederal/National GovernmentState/Province/Local GovernmentHealth CareManufacturingEducationE-Business ApplicationOther Invalid Input Unlisted Markets: Invalid Input 12. Which platforms does your company have expertise in? WindowsApple/MacintoshLinuxSolarisHP-UnixNovell NetWareAIXOther Invalid Input 13. Please apply a percentage to each category based on type of revenue for your company % Professional Services Invalid Input % Software Sales Invalid Input % Hardware Sales Invalid Input % Other Invalid Input 14. How did you hear about WinMagic Inc.? Please select...Print AdvertisingSearch EngineDirect MailReferralTrade Show/ConferenceIndustry WebSite/NewsgroupOn-lineEventMagazineArticlePhone CallOther Invalid Input Other: Invalid Input Comments: Invalid Input Security Code* Refresh Invalid Input Type in the characters you see in a picture to the text box.
