Partner Application - Alef Edge

Company*
Name*
First Last
Title*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Website*

Relationships & Certifications
Please list primary vendors you have a formal relationship with (reseller agreements). Include key certifications.
Similar or Complimentary Products
List other products you work with that are similar or complimentary to Company products.
Value Added Services
Provide a description of your primary "Value Added" services (integration, training, custom development, consulting, etc.)
Date
Select today's date
Date Format: MM slash DD slash YYYY
Reseller Agreement (please read)
Click HERE to view the Partner Agreement (opens in its own window). Please email or call the Partner Manager at (518) 487-1325 if you have any questions. By submitting this form, I agree to the terms of the reseller agreement.
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Phone
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