Channel Partners Application

Contact Information:
*Required

* First name:

* Last name:

Job title:

* Company name:

Street address:

* City:

State:

Zip code:

* Country:

* Telephone number:

Extension:

* Fax number:

E-mail address:

Company website:

Federal Tax ID:

What program are you applying for?

What geographic territory does your company cover?

If you selected Metropolitan or Regional from the above drop down, please specify which area you serve.

As measured in terms of revenue, who are your top three companies that you represent:

What are you trying to achieve with the relationship and within what desired time period? (Maximum 250 characters)

What value will your clients recieve from this relationship? (Maximum 250 characters)

How do EasyLink services fit within your current offerings? (Maximum 250 characters)

How will EasyLink Services be sold? (Maximum 250 characters)