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(A) Company information

company name:
City:
address:

State:
Postal code:
Country:
Contact person Name:
Contact person Title:
Phone number (office):
Phone number (cell):
Email:
Website URL:

(B) Financials and Employee information

Company Revenue for last 3 financial years (USD):

year
revenue
Total number of employees:
Total in sales:

(C) Service offerings

List your current service offerings:
Current partnerships list and nature of each partnerships:
Who are your current target customers?
How do you believe that your service offerings fit with the Net Matrix partner program?
What is the approximate revenue you shall aim to achieve with the Net Matrix partner program in the first year?
What level of partnership are you trying to seek with Net Matrix?
List top 3 reasons why you want to be a partner of Net Matrix?