Business Partner Program Application

NetMotion Partner Application

Please fill out this form to be considered for the NetMotion Wireless Partner Program. Except where indicated, answering all questions is required.

Please fill out the following:

Company:

Business address:

City:

State/Province:

(USA and Canada only)

Zip:

Country:

Telephone number:

Annual revenue:

Number of employees:

Primary contact:

First name:

Last name:

Telephone number:

E-mail address:

1. What products and services do you offer?

Data networking
IP Telephony
Network / systems security
Wireless networking

Mobile / wireless platforms
RF surveys
Other:

2. What industries do you target?

Communications
Consulting
Education
Energy/utilities
Finance
Government
Healthcare / pharmaceuticals

Insurance
Legal
Manufacturing
Public safety
Retail
Transportation
Other: