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MADSolutions Authorized Reseller Program

Signup Form

Note: Information on this form is treated as confidential.  MADSolutions does not sell or distribute any customer, reseller, affiliate, or beta tester's information without the express written authorization of the customer, reseller, affiliate or beta tester.

Important: After clicking "Signup Now", please keep in mind that you're information will be reviewed and someone from Partnering will contact you.  If you information is incomplete this will delay the processing of your sign up and therefore increase the amount of time it takes us to provide you with sales materials, product technical materials and other relevant reseller information.

 
General Information:
Where did you hear about the reseller program?
Your company name:
Company web site:
Approximate number of sales staff:
Company expertise:
Target company size (Average size of your customers):
Target market (Please specify industry/industries catered to):
Is your company a Microsoft Partner:
Preferred currency to work in with MADSolutions:
Personal Information: (Company Official - Main Contact)
First Name:    Address: 
Last Name: Address Continued:
Your Occupation/Title: City:
Phone Number:  Province/State:
Fax Number:       Postal Code/Zip:
E-mail Address: Country: