Touchtone Partner Application

To be considered for Touchtone's Worldwide Strategic Partner Program, please fill out the form below completely and submit it to Touchtone Corporation. All information supplied will be kept strictly confidential. Marketing Department Touchtone Corporation 3151 Airway Avenue, I-3 Costa Mesa, CA 92626-4624 USA Email: info@touchtonecorp.com Phone: (714) 755-2810 Fax: (714) 755-3795
1. Contact information:
*Name:
*Job Title:
*Company:
Address:
Address 2:
City:	State: Zip:
Country:
*Email:
*Phone:	Ext.
*Fax:
*URL:

2. Corporate information:
Title:	Name:	Phone:	Email:
President:
Marketing:
Sales:
IT:
3. Business profile:
	Year Company Established
	Number of Employees
	Number of Inside Sales Personnel
	Number of Outside Sales Personnel
	Number of RPG programmers
	Estimated 2004 Revenue
	Estimated 2004 Software Sales
	Number of Office Locations
Sell to Resellers?
Sell to End-users?
4. Products and services sold: (Please check all that apply.)
Vertical Application Solutions
AS/400 Software Solutions
Custom Application Development
System Installation/Integration
Web Solutions
Training and Support
Value Added Reseller (VAR)
EMEA Galaxy Program
Number of IBM iSeries – AS/400 customers
		Who is your contact at IBM?
		IBM contact email address
		List any CRM software you sell
5. List three current industry vendor references: (suppliers or partners)



6. How did you hear about Touchtone?