Company Name *
 

Website URL *
 

Full Address *
 

Phone *
 

Fax

Name *
 

Position *
 

Email *
   

Phone *
 

Cell

Name *
 

Position *
 

Email *
   

Phone *
 

Cell

Name *
 

Position *
 

Email *
   

Phone *
 

Cell


Please indicate who is the primary contact for this application *
-- Please Select -- Executive Sponsor Product Champion Technical Contact  

Other Office Locations *
 

Annual Revenue (US$) *
 

Number of employees:

• Sales & Marketing *  
• Technical *  

Revenue Split:

• Hardware *  
• Software *  
• Services *  

Server Vendors *
 

Storage Vendors *
 

Software Vendors *
 

Accreditations *
 

Technical Certifications *
 

Services Offerings *
 

Target Market Size *
-- Please Select -- < 250 250-500 > 500 1000+  

Target Vertical Markets *
 

Focus Solution Sets (hold ctrl and click to select multiple entries)
Server Consolidation Disaster Recovery/Business Countinuity Hardware migration Test lab automation Provisioning Infrastructure optimization Hardware Inventory  

Distributor
 

Are you a VMware reseller?

• If so, then to what level are you accredited?
  
• How many VMware Certified Professionals do you currently have?
  
• What is your primary VMware Product focus? -- Please Select -- ESX GSX VC
• What is your expected VMware revenue in the next year?

Are you reselling Microsoft Virtual Server?

• If so, since when?
• What is your expected MSVS revenue in the next year?

Are you reselling Citrix Xen Server?

• If so, since when?
• What is your expected Citrix Xen revenue in the next year?

Which PlateSpin products are you interested in?
PowerConvert
PowerRecon
PlateSpin Forge

Which PlateSpin products do you have experience in using/selling?
PowerConvert
PowerRecon
PlateSpin Forge

Who will attend the PlateSpin Accreditation training course?
 

Which training course (date) do you wish to attend?

Why are you interested in reselling PlateSpin solutions?
 

How would reselling PlateSpin’s solution help you attain your
corporate objectives?
 

Please provide any additional information that would help us evaluate your request