Step One: Applying to become a business partner

Once you have submitted this form a Partner Program Manager will review the application and contact you. You may be required to provide references. When the application has been approved, we will send you a Partner Agreement that must be signed and returned to PerformanceIT.

	Asterisk (*) indicates field is required.
	Company Information
	*Company Name:
	*Contact Person:
	*E-mail:
	*Address 1:
	Address 2:
	*City:
	*State:
	*Zip Code:
	*Phone:
	*Fax:
	Business Partner Details
	1.) What kind of partner program do you wish to pursue with PerformanceIT? Channel Partner Consulting Partner Managed Services Partner Technology Partner Strategic Alliance Partner
	2.) Company Information Public Corporation Private Corporation Primary Partnership Proprietorship Subsidiary Other
	If other please state:
	3.) Which of the following describes your primary business? VAR Systems Integrator Consultant Service Provider
	If other please state:
	5.) What are your Gross Sales choose from the following options? Under $1 million $1-5 million $6-10 million $10-50 million Over $50 million
	6.) How many Full-time Employees are in the following departments: Sales: Marketing: Technical Support: Administration: R&D: Professional Services: Other: Total Staff:
	7.) For Strategic Alliance Partners, please provide details of your product or technology.
	8.) What are the synergies between your company and PerformanceIT?
	9.) What are your expectations for the designated relationship?
	10.) Have you contacted anyone at PerformanceIT regarding this proposal? YES - please state contact name: NO
	11.) Any other comments: