Channel Partner Registration

First Name*
Middle Name
Last Name*
Title/Position*
E-mail*
Phone*
Company Information
Company Name*
Web Site*
Address*
Address 2
City*
Country*
State/Province
Zip/Postal Code*
Company Phone*
Fax
In which countries does your company operate?*
Number of Employees*
Number of Customers
Last Year Revenue
Date Established*
How did you learn about Parallels?*
Additional Information
Description of product/services (1000 words max)*
What markets do you support?*	Education State and Local Government Federal Government Enterprise Accounts (Over 5000 Seats) Corporate Accounts (1000 to 5000 Seats) Medium Business (100 to 1000 Seats) Small Business (Less than 100 Seats) Consumers
Who are your major customers?*
Who are your major Technology Partners?	Apple Authorized Apple Resellers Apple Specialists ASMC Members (Apple Specialist Marketing Coop) Members of the Apple Consulting Network Dell HP IBM Microsoft Virtual Iron VMware Xensource Red Hat Novell Other:
Which Technical Certifications do you have at your company?	Microsoft Certified Professional (MCP) Microsoft Certified System Engineer (MCSE) Apple Certified Technical Coordinator (ACTC) Apple Certified System Administrator (ACSA) Virtual Iron VMware Certified Professional (VCP) Xensource Others:
Which Parallels Products are of interest to you?*	Parallels Desktop for Mac Parallels Workstation Parallels Server Parallels Virtuozzo Container Parallels Plesk Control Panel Parallels Automation (PEM)
Number of Sales Personnel
Number of Services Personnel
What percentage of your company’s revenue is derived from the following:
Product Sales
Services
Please describe your target markets for Virtuozzo Containers
Please briefly describe your Virtualization service/solution offerings
Please list all related products you currently resell, support, or provide services for in the following areas
Virtualization Software
Hardware/server platforms
How do you plan to sell the Parallels Product Line?*
How many units of Parallels Software would you expect to sell this year?*
Which Language Version do you require?*	English German French Spanish Japanese Any other not on the list?
How do you plan on Marketing Parallels to your customer base?*
Would you like to sell downloadable version?*
Would you like to sell physical boxes?*	Yes No
By Checking the box below, I have read and agree to the terms and conditions of the Parallels Partner Agreement.
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