Registration Form

Registration Form - Ingram Micro Reseller Partners

* Required fields

Customer Number	example: 12345678
Company Name *
Address
City
Province / State	example: ON or TX
Postal / Zip Code	example: H5H5H5 or 90210 (no spaces)
Country
First Name *
Last Name *
Position / Title *
Phone Number *	example: 5555555555 (no spaces)
Phone Extension
E-Mail *

1. Which of the following Technology and Market solutions do you focus on? (Check all that apply)

2. Which of the following Technology and Market solutions would you like to focus on? (Check all that apply)

Please submit the following information to qualify for the prize draws (All fields below are required)

1. Cables To Go: Have you used Cables To Go's Live Chat feature on their website www.cablestogo.com?

	Yes
	No

2. Cables To Go: Have you seen Cables To Go's modular cabling system, RapidRun?

	Yes
	No

3. CyberPower: What power protection brands do you currently offer? (Check all that apply)

	APC
	TrippLite
	CyberPower
	Eaton
	Liebert
	Belkin
	Other

4. CyberPower: Are you interested in learning more about why CyberPower was awarded “ New Vendor of the Year” by Ingram Micro USA and it's Online, Pure Sinewave, Line Interactive and Stand By power protection solutions?

	Yes
	No

5. D-Link: Please choose what D-Link Solutions you would like more information about. (Check all that apply)

	Switching
	Wireless
	Storage
	Firewalls
	IP Cameras
	Storage
	VIP Rewards Program
	None of the above

6. Dymo: Do you currently sell USB connected thermal label printers? (Check all that apply)

	DYMO
	Seiko
	Brother
	Other
	I do not currently sell any label printers

7. Dymo: Are you interested in learning more about the new DYMO 450 series of Label printers?

	Yes, please contact me directly to discuss opportunities
	Yes, please send me updated literature and information
	No, I am not interested in label printers at this time

8. Iomega: Iomega is a wholly owned subsidiary of what company?

9. Lantronix: Do you sell networking products?

	Yes
	No

10. Lantronix: Do you currently sell Lantronix products?

	Yes
	No

11. Lenovo: Would you like a follow up call from John Henkelman (or Team Lenovo at Ingram) to discuss your Lenovo business?

	Yes
	No

12. Lenovo: Which Lenovo products are you most interested in? (Check all that apply)

	Lenovo ThinkPad business notebooks (T, X, W series)
	Lenovo ThinkCentre business PCs
	Lenovo ThinkStation workstations
	Lenovo ThinkServer SMB servers
	Lenovo IdeaPad SMB notebooks (SL series)
	Lenovo IdeaPad consumer notebooks (G, Y, netbooks)
	Lenovo IdeaCentre consumer PCs
	Lenovo LCD displays
	None of the above

13. Netgear: How would you prioritize below Netgear reseller channel program?

1. Upfront discount	2. Eval discount	3. Reseller Fast Cash Debit Card
1. Eval discount	2. Debit card	3. Upfront discount
1. Fast Cash	2. Upfront discount	3. Eval discount

14. Netgear: What complete SMB solution does Netgear provide?

	Switch, Storage, Wireless
	Switch, Storage, Security
	Switch, Storage, Wireless, Security

15. Oracle: Do you resell Oracle today?

	Yes
	No

16. Oracle: Do you sell to?

	Enterprise (over 1000 PC users)
	SMB customers
	Enterprise & SMB

17. Plantronics: Are you currently selling Plantronics products?

	Yes
	No

18. Plantronics: Are you currently selling Unified Communications Solutions?

	Yes
	No

19. PNY: Which of the following markets do you sell into? (Check all that apply)

	CAD
	Animation (Digital Media)
	Financial
	Other

20. PNY: Do you build high-end workstations?

	Yes
	No

21. Trendnet: Are you familiar with TRENDnet's partner program and it's benefits?

	Yes
	No

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