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Trend Micro Alliance Partner Application Form

Red asterisks - * - indicate required information.

Company Profile

Company Name: * Country: Year Established: * Industry: Contact Number: Fax Number: * Address Line 1: * Address Line 2: Website: * Annual Revenue: * Number of Employees: * Key Competitors: *

Exsisting Trend Micro Partner

Check if you a current:

Telecommunications and Service Provider Solutions Partner Channel Solutions Partner (VAR/Reseller)

Company Sales Profile

What customer(s) (size by number of employees) do you sell to?
Select all that apply. *

0-1000 1001-2000 2001-3000 3001-4000 4001-5000 5000+

What vertical markets (industries) do you sell into? Select all that apply. *

Government Retail Financial Services Telecommunications Healthcare Manufacturing Other

Partner Company and Product Description

Provide a brief description of you company's business and focus *

Provide a brief listing of your company's products and or services which leverage or interoperate with Trend Micro products and technology *

Which of the following business models best describes your company's primary business? *

Consulting Firm/Systems Integrator Independent Hardware Manufacturer Independent Software Manufacturer

Parnership Membership Category

I am applying for the following Trend Micro Alliance Partner type and level: *

Platform Partners (EPP)
(Complete computing environments for customers) Consulting and Services Partners (CSP)
(Global and regional system integrators) Technology Provider Partners (TPP)
(ISV/IHVs; horizonal and vertical industry)

Requested Partnership Level *

Strategic Premier Associate

Primary Partner Contact Information

Please provide details for the primary point of contact for business development and alliance activities with Trend Micro Inc.:

Mr. Ms. *

First Name * Last Name * Job Title * E-mail address: *
(Use your business email address in your organization) Phone Number: * Fax Number: Mobile Phone Number: Address Line 1: * Address Line 2: Zip: * Country:

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