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    *Mandatory Fields
    *Salutation
    *Name
    *Last Name
    *Designation
    *Company
    *Address
    *City / Town
    *State
    *Pin Code
    *Telephone
    *Company URL
    *Email
    *Is the mailing address you provided:
    Corporate Headquarters Branch Office
    *Which best decribes your job function?
    Executive Management(Owner,Chairman,CEO,President etc)
    Corporate Management(VP, Sr.VP, Executive VP Etc)
    Departmental Management (Financial, Administration, Operations, Purchase etc)
    Technical Management/Technical Staff
    Sales/Marketing Management/ Sales Staff
    Others
    *Are you involved with decisions concerning selecting channel vendor partners for your organization?

    Yes No
    *Which classification best describes your firm's primary business model at this location? (select only one)

    System Integrator/VAR
    Network Integrator/VAR
    Managed Service Provider ( Application, Internet, Security, Storage etc)
    IT Consultant/Business Consultant
    Software Developer/ISV
    Distributor/Sub Distributor
    Others
    *Which of the following activities is your company involved in? (Select all that apply)

    Total or custom solutions that include software or hardware
    IT Consulting Services
    Development of custom or proprietary software solutions
    Security Services/Solutions
    Network/Infrastructure Design and Implementation
    Storage Services/Solutions
    Voice Over IP Integration Services (Telecomm Services)
    Internet services and solutions
    Hosting / Application Hosting
    Managed Service Provider (ASP / MSP)
    Builder of Custom Systems / Servers / Storage (White Boxes)
    Disaster Recovery / Business Continuity
    General Business Consulting / Strategy / Professional Services
    *Which of the following technologies are you currently involved in? (Select all that apply)

    Application Development
    Security
    Voice Over IP/IP Telephony
    Networking
    Operating Systems
    Wireless
    Storage
    Custom Systems
    RFID (Radio Frequency Identification
    Linux/Open Source
    Voice & Data Networking/Communications
    Software
    Systems
    Others
    *Which of the following markets does your company target for business? (Select all that apply)

    Central/State/Local Government
    BFSI
    Manufacturing
    Telecom
    Retail
    Logistics (Transportation/Distribution/Shipping/Airline etc)
    Healthcare/Pharma
    FMCG
    Resarch/Education
    Utilities (incl. Oil & Gas, Power)
    IT/BPO
    SMB's
    *What is your firm's gross annual sales?
    *What is the number of employees in your organization?
    *What percent of your total revenues came from each of the following areas?
    (Please note: Your responses to the below should total up to 100%)

    Hardware:
    Sofware:
    Consulting and other services:
    Managed Services:
    *What is your total number of customers?
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