TekCore Partner Application

Partner Application

To begin the application process, please complete and submit the form below. You may also print out the form, fill it in offline, and fax it to us (443-517-0059). If you have any questions, feel free to contact a Partner Manager.

Fields with an (*) are required fields.

Company Information

Company Name: *
Address 1: *
Address 2:
City: *
State/Province: *
Zip Code: *
Country: *
Web Site: *

Contact Information

First Name: *
Last Name: *
Job Title:
E-mail: *
Phone: *
Fax:

Business Information

Business Type

Value Added Reseller (VAR)Distributor
Value Added Service Provider (VASP)Systems Integrator
Internet Service Provider (ISP)Other
Independent Software Vendor

Number of Years Established

Expected Annual Revenue for TekCore Products

Geographical Areas (list all country/regions applicable)