Surveon Partner Program
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Company Information
* required field
E-mail
*
Company Name
*
Job Title
*
First Name
*
Last Name
*
Address1
Address2
City/State/Province
Postal Code
Phone #
Mobile #
Fax #
Country
*
Website
*
Years in Business
Total # of Employees
*
# Inside sales
# Outside sales
# Engineers
Prior year annual revenue
Projected revenue this year
Percentage of revenue (totals 100%):
IP Camera
NVR
VMS
Storage
Others
Please fill in the brands you are selling and the volume.
Brands Carried
Volume Per Month (Please state in quantity)
IP Camera
NVR
VMS
Storage
Others
Technical Contact
Technical Phone
Technical Email
Marketing Contact
Marketing Phone
Marketing Email
How would you classify your company? (Check all that apply)
*
Others
Select vertical markets you “concentrate” on and specialize in - check all that apply
Other (list)
Indicate which types of marketing activities you engage in - check all that apply
Other
Relationships & Certifications
Please list other primary vendors you have a formal relationship with, including key certifications.
Please provide a description of your primary“value added” services (integration, training, custom development, etc.)
What are the major brands in your region, in terms of IP camera, NVR, VMS?
Brand Awareness
How do you know Surveon? (Check all that apply)
*
Other
If you came across Surveon through Google search, what key word did you use before Surveon appeared?
*
Why are you interested in Surveon?
*
Which Surveon product line are you interested in? (Check all that apply)
*
Other
Surveon Partner Program
Surveon Partner Program