Partner Program Application

Please provide the following contact information:

Company Legal Name	Federal Tax ID #
D.B.A.
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Company Web site
Submitted by:
Title	Mr. Ms. Other
First name
Last name
Middle initial
Job Title
Phone
FAX
E-mail
Company Marketing Contact:	-- Select One -- Person Submitting Application Technical Contact Sales Contact
Title	Mr. Ms. Other
First name
Last name
Middle initial
Job Title
Phone
FAX
E-mail
Company Sales Contact:	-- Select One -- Person Submitting Application Marketing Contact Technical Contact
Title	Mr. Ms. Other
First name
Last name
Middle initial
Job Title
Phone
FAX
E-mail
Company Technical Contact:	-- Select One -- Person Submitting Application Marketing Contact Sales Contact
Title	Mr. Ms. Other
First name
Last name
Middle initial
Job Title
Phone
FAX
E-mail
Company Description	Max. 500 characters.
Primary Hardware Product(s) (please describe)
Software Solutions -- proprietary and packaged
*Summarize the value you can add to Data ID Software Products
Installed Reference Accounts Please provide at least one reference from one installation

Account Name	Contact Person	Phone	Software Sold

 

*Our TigerEYES™ suite of software products require training and certification to become an authorized Data ID Partner.

Would you like us to send you Partner Program information ?

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Enter your customer number in the space provided below, if known.

The statements provided in this application are accurate to the best of my knowledge. I understand and agree to the following:

Completion and return of this application does not constitute acceptance by Data ID Systems as an authorized Data ID Partner. Data ID Systems reserves the right at its sole discretion to deny authorization for any reason. All applications, approvals, and contracts must be complete before you may advertise or represent this location as a Data ID Partner. Note that no binding agreement is formed until Company has finally approved this location as a Data ID Partner for TigerEYES™ software product line. Data ID's approval shall only be indicated by its written notification to you of acceptance.

Please tell us how you heard about us: Please select one Internet Search Google Internet Search Yahoo Internet Search Other Referral Magazine Ad Radio TV E-mail Mail Data ID Salesperson Advertising Banner Other

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