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About
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Application Form
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Team Piracle
To become a partner, please fill in this application as completely as possible and hit the Submit button. One of our sales representatives will contact you in the next 24 hours to discuss our Partner Programs with you.
I/We are interested in (please check one):
Referral Partner
Reseller Partner
Strategic Partner
*Company Name:
*Applicant's Name:
Applicant's Title:
Address:
City:
State/Province:
Zip/Postal Code:
*Phone Number:
Fax Number:
*E-mail Address:
*Confirm E-mail Address:
URL:
Tell Us About Your Company:
How many years have you been in business:
Company EIN/SSN:
State Sales Tax Number (for strategic Partners only):
Type of Organization:
Corporation
Sole Proprietorship
Partnership
Other
Annual Sales Volume:
< $100K
$250K-$500K
$750K-$1Mil.
$5MM-$10MM
$100K-$250K
$500K-$750K
$1MM-$5MM
$10MM+
Please describe your core business (CPA / Accountant / Consultant / system sales, etc):
Please describe the vertical markets in which you are most established:
What is the geographic area in which you sell?
What Accounting applications does your company sell or re-sell? (Please indicate if you are a certified or approved re-seller.)
Please list all other software which your company re-sells:
Please list all hardware which your company sells or re-sells:
I/We
have
have not submitted a credit application.
The * character indicates a required field.
