Partner Inquiry Application

Partner Inquiry Application

Partner Information Form

    1. Company Information

    2. Contacts

    3. Description of your Business

    4. Number of full-time employees

    5. Business Model (identify major focus)

    Your company's current vertical focus (Check all that apply)

    Does your company offer (Check all that apply)

    Principle value provided by your company to its customers
    Current Business Relationships/ Alliances/Certifications
    Please list the geographic areas served by your company
    Who are your competitors in the markets that you plan to sell PracticeSuite products?
    Please tell us why you would like to become a PracticeSuite Reseller (max 100 words)
    Please provide one customer reference that we can contact