New Partner Enrollment

If your company is already registered with 3Com in the Focus Partner Programme, you can register for Partner Access here. However, if your company is new to the Focus Programme, you will need to enrol using this form.

Please fill in the form below. Feel free to use the comments field at the bottom of the form for any supplementary information.

Company Information

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Country

Area

Number

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Contact Information

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Country

Area

Number

Business Phone Direct:

*Job Function:

	Financial		Purchasing
	Information Systems		Sales
	Marketing		Technical
	Post Sales/ Service		Other

Job Function Seniority:

	CEO/Partner		Staff
	Consultant		Sales
	Director/VP/Senior Manager

*What type of business is your company?
(Select all that apply)

	Retail		OEM
	Service Provider		Software Vendor
	Direct Marketing / Mail Order		Consultant
	PC Assembler		Cash & Carry
	VAR		Voice Provider
	Systems Integrator		Other

*Which vertical markets does your company currently sell to?
(Select all that apply)

	State / Local Government		Service Provider ASP
	Education		Service Provider NSP
	Federal Government		Telecommunications
	Healthcare & Pharmaceuticals		Consulting
	Finance & Banking		Manufacturing
	Retail / Wholesale		Petroleum/Oil/Gas
	OEM		Transportation
	Voice/Telephony/Call Center		Hospitality
	Service Provider - ISP		Other

*What services does your company provide?
(Select all that apply)

	Call Center / Data Center		Service Provider(ISP,ASP,NSP)
	e-Business Services		System Integration
	Education & Training		Voice/Data Integration
	Independant Software Developer		Web Developer
	Retailer		Other

*What type of products / solutions does your company currently recommend?
(Select all that apply)

	Small Business		Voice Solutions
	Stackable LAN		Wireless
	Modular LAN		PC Cards/ NICS
	Web / Wan / Bas

*What market segments does your company currently sell to?
(Select all that apply)

	Consumer		Business 51-100 employees
	Home/Home Office		Business 101-250 employees
	Business 1-25 employees		Business 251-500 employees
	Business 26-50 employees		Business 500+ employees

What is your company's annual revenue?

Please Select $1 - $100.000 $101K - $250K $251K - 500K $500K - $1M $1M - 2.5M $2.5M - $5M $5M - $10M $10M - $50M $50M+

What percent (%) of your company's revenue is networking?

Please Select 100% 80-99% 60-79% 40-59% 20-39% 1-19% 0%

What percent (%) split of your networking revenue is HARDWARE?

%

What percent (%) split of your networking revenue is SOFTWARE?

%

What percent (%) split of your networking revenue is SERVICE / CONSULTING?

%

What percent (%) split of your networking revenue is OTHER?

%

What other networking products does your company sell?
(Select all that apply)

	Broadcom		Netopia
	Cisco		Nortel
	D-Link		Proxim
	Efficient		Siemens
	Hewlett-Packard		Sonus
	IBM		Xircom
	Intel		Other
	Lucent

What is the number of employees at your company?

Please Select 1 2-5 6-15 26-50 51-100 101-250 251-500 501-1000 1000-5000 5000+

In order to keep you aware of 3Com advances, special offers and technical briefings may we contact you by :-

Post?

Email?

Telephone?

Fax?

By submitting the above details to 3Com and proceeding with this form you consent to the collection, processing and use of that data in accordance with 3Com's Privacy Statement and Information options Page available for viewing at http://www.3com.com/legal/privacy.html. Customers within the European Economic Area (EEA) consent to the transfer of that data outside the EEA for any of the purposes described in 3Com's Privacy Statement and Information options Page.

If you have any questions, please e-mail us at: apr_partnerservices@3com.com

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