Registration Form

Registration Form - Ingram Micro Reseller Partners

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

3. Which of the following vertical industries do you sell into? (Check all that apply)

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

1. Cables To Go: What cabling do you sell or use in your installations?

	Startech
	Belkin
	Cables To Go
	Other

2. Cables To Go: Are you familiar with Cables To Go’s Modular cabling system RapidRun?

	Yes
	No

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

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. Dell: How likely are you to lead with Dell products?

	Very Likely
	Somewhat Likely
	Not Likely

6. Dell: Please choose the top 3 Dell products that you would be likely to recommend: (Check all that apply)

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

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

9. 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

10. Fluke: Do you have current or future projects that will involve the planning, design, installation, maintenance and management of 802.11 wireless networks for your client organizations?

	Yes
	No

11. Fluke: Which of the following WLAN - Analysis, Auditing, Security & Performance Monitoring and Troubleshooting tools do you plan to purchase and deploy as part of the 802.11 projects with your client organizations? (Check all that apply)

	Enterprise wide 24 X 7 security and performance monitoring and remote troubleshooting tools
	Troubleshooting tools designed specifically for Cisco Unified Wireless Networks
	WLAN auditing and troubleshooting tools (software based) for use with mobile computers
	Tools to detect, identify and locate individual sources of RF interference that impact the performance of Wi-Fi networks
	Tools for performance verification of existing networks and for on-going optimization as new users, applications or technologies are added
	Tools for Pre-deployment "WLAN modeling" and pre and post deployment "active site surveys"
	Dedicated handheld Wi-Fi test tools for front-line IT workers to quickly verify and troubleshoot 802.11 a/b/g/n networks
	Monitoring and Troubleshooting tools for Voice over Wi-Fi (VoFi)
	None of the above

12. GN Netcom: Do you currently sell any of the following headset solutions? (Check all that apply)

13. GN Netcom: Is your company selling any of the following unified communication solutions? (Check all that apply)

	Microsoft OC
	Cisco
	Avaya
	Not selling these solutions

14. Ingram Micro Data Capture POS: Do you sell Touch Screens or have interest in selling Self Service Kiosks?

	Yes
	No

15. Ingram Micro Data Capture POS: Are you interested in Learning more about Field Mobility Solutions?

	Yes
	No

16. Ingram Micro Digital Signage: Would you like a follow up phone call that would provide an overview about Ingram Micro Digital Signage?

	Yes
	No

17. Ingram Micro Digital Signage: Do you currently sell Digital Signage Products?

	Yes
	No

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

19. Lantronix: Do you sell networking products?

	Yes
	No

20. Lantronix: Do you currently sell Lantronix products?

	Yes
	No

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

	Yes
	No

22. 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

23. 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

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

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

25. Plantronics: Are you currently selling Plantronics products?

	Yes
	No

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

	Yes
	No

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

	CAD
	Animation (Digital Media)
	Financial
	Other

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

	Yes
	No

29. Samsung: Do you currently sell Samsung Products?

	Yes
	No

30. Samsung: Are you part of the Blueline Rewards or P3 VIR program?

	Yes
	No

31. SAP: Do you resell SAP BusinessObjects today?

	Yes
	No

32. SAP: Do you sell to?

	Enterprise (over 1,000 PC Users)
	SMB
	Enterprise & SMB

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

	Yes
	No


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