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ELUTIONS Alliance Program On-line Application Form

If you wish to become an ELUTIONS Alliance member, please complete this application. Your completed application will be forwarded to the ELUTIONS Alliance Program Manager who will contact you for more information. For immediate questions, please contact ELUTIONS at .

Section 1 - Partnership Category (please choose one of the following):

	Solution integrator
	Product Development
	Distribution
	Association

Section 2 - Company Information (* indicates required information)

*Required fields

Company name*
Division
Address*

City*
State or province*
Country
ZIP or postal code*
Telephone*
Fax
Web site*

Section 3 - Contact Information

First name*

Last name*

Title*

Telephone*

Other telephone

Email address*

Section 4 - Business and Product Description

Please indicate your current annual revenue:*

$0 - $20M $20M - $50M $50M - $100M $100M - $500M $500M - $1B $1B or more

Please describe the value that our joint solution delivers to customers including any functional integration and how customers use it. This paragraph will be used for your company's web page in the ELUTIONS Alliance Program Member Directory:*

Please list all products/services that augment the ELUTIONS solution. This paragraph will be used for your company's specific web page in the ELUTIONS Alliance Program Member Directory:*

Please indicate the unique selling features/competitive advantages inherent in your products, as they relate to the ELUTIONS solution:

What are your top three target markets for your product or service?
(Ctrl-Click to select more than one)

Other:

Please check the information you have entered and click the "Submit" button to send your completed application to ELUTIONS.

Clicking Submit will forward your application to the ELUTIONS Alliance Program Manager, who will contact you with additional information. If you have any questions, please contact ELUTIONS at .

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