Company Name *

First Name of the Primary POC *

Last Name of the Primary POC *

Phone Number *

Business Email *

Business Address *

City *

State/Region

Zip Code *

Country *

Website URL *

1. Are you public or privately held? *

2. Are you global or US-based? *

3. If Global, what countries do you service? Please enter *

4. How many full-time employees do you have? *

5. How many years have you been in business? *

6. What is your current GTM Strategy? *

7. Who are your primary competitors? *

8. Please provide a company overview. *

9. What services do you offer? *

10. Who is your target end customer? *

11. What is your average deal size (MRC/ARR)? *

12. What is your target market sweet spot? *

13. Do you currently have an indirect Channel program? *

13 - A. If yes, which TSDs are you contracted with today? If no, please enter *

13 - B. If yes, what percentage of your annual revenue comes from the indirect Channel? If no, please enter *

14. What is your Proposed Commission Structure? *

15. Do you pay commissions on invoice or collections? *

16. Any additional information you would like to provide at this time? *