North America PowerShift Application

North America PowerShift Application. For information on the PowerShift Partner Program outside North America please visit the website for your region. Please note that the PowerShift Partner Program is not available in all countries.

Contact Info

Reseller Business Name *
Doing Business as
Title
Salutation
First Name *
Last Name *
Email *
Confirm Email *
Phone * () - *
  ( xxx )  xxx  -  xxxx   
Mobile () -
Website
Address *
City *
State/Province
Zip/Postal Code *
Country *
Additional Comments
How did you hear about the Powershift Partner Program? (Enter Rep's name below if applicable) 





Enter Rep's name (or Other)

Your Target Market Size

Your Target Market
To which of the following markets does your company target its sales efforts? (select all that apply)










Your Target Customer Size
What size organization does your company sell to or service? (select all that apply)
When selecting, please consider the total number of employees, not just those employed at the location you are servicing 



Your Business Activities/Technologies

Your Business Activities
Which of the following business activities is your company involved in? (select all that apply)




Technology Focus
Which of the following business activities is your company involved in? (select all that apply)






Which technology is of greatest importance to you?

Your Sourcing

Your Netgear Distribution Suppliers
From which of the following DISTRIBUTORS do you purchase Netgear Products? (select all that apply)
Distributor Account # Distributor Representatives
A.S.I.
D & H Distributing Inc.
Ingram Micro
Jenne
MA Labs
Synnex
Tech Data
None/Other
Your Brands Carried
Which of the following MANUFACTURER'S BRANDS do you currently purchase? (select all that apply)






Your Business Size

Your Number of Business Locations
How Many BUSINESS LOCATIONS are in your entire organization (including all divisions, branches, and subsidiaries)?
Your Technical Staff Size
How many TECHNICAL employees are in your entire organization (including all divisions branches and subsidiaries)?
Your Salesforce Size
How many SALES employees are in your entire organization (including all divisions branches and subsidiaries)?
Your Annual Revenue
What is your firm's ANNUAL Revenue?
Your Monthly Networking Revenue
What is your firm's AVERAGE MONTHLY Revenue from NETWORKING HARDWARE?

Authorization

Click here if you would like someone from NETGEAR to contact you for further information

I hereby certify that I have the authority to commit my company's resources to execute the NETGEAR Powershift Partner Program Registration Agreement. I hereby release NETGEAR, Inc. from any and all liabilities associated with the program.

I acknowledge and consent to NETGEAR and its affiliates and partners contacting me from time to time to, among other things, inform me about products, services, programs and partner opportunities, provide a product or service, or measure interest in various products and service offerings. I understand that such contacts will abide by NETGEAR's privacy policy, located at http://www.netgear.com/About/PrivacyPolicy.aspx
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