Program Application Questionnaire
To help us better understand your company, please complete and submit the following form:
Contact Information
*
Indicates required field
First Name:
*
Last Name:
*
Title:
Company Name:
*
Address 1:
Address 2:
City:
*
State/Province:
*
Country:
*
Zip/Country Code:
Phone:
*
Fax:
email:
*
website:
Affiliation with IBM
IBM Business Partner
Yes
No
IBM Premier Business Partner
Yes
No
Company Information
Number of offices
Number of employees
Geographic area covered:
Asia
Canada
Eastern U.S.
Europe
International
Midwestern U.S.
Other
South America
U.S.
Western U.S.
What is your company's area(s) of expertise?
Does your company maintain a dedicated Lotus Domino IT staff?
Yes
No
If yes, how many?
Does your company develop its own software products?
Yes
No
Does your company maintain a sales and marketing force in support of your products?
Yes
No
If you have questions regarding Cobra Technologies, The Cobra Authorized Reseller Program, and/or our products and services, please contact:
Les Drane
Ldrane@cobratech.com
800.921.8189