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Partner Application

Please complete this form to apply as a LeadSmart partner. Call (833)532-3832 if you have any questions. Thanks.

Partner Application

Step 1 of 3

33%

Company*
Name*
First Last
Title*
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Website*

Years in Business*
Business Type*
- Proprietor
- Partnership
- Corporation
Classification
How would you classify your company? (check all that apply)
- Retailer
- VAR
- System Integrator
- Consultant
- Distributor
- OEM
- Developer
- Chain or Franchise
- Training
- Mail Order
- E-Commerce
- MSP
Verticals
Select vertical markets you concentrate and specialize in (check all that apply)
% Hardware
% of your business is Hardware
Please enter a number less than or equal to 100.
% Software
% of your business is Software
Please enter a number less than or equal to 100.
% Services
% of your business is Services
Please enter a number less than or equal to 100.
Geography*
What geographical area(s) do you serve (check all that apply)
- Local (50 mile)
- State Wide
- Regional (multiple states)
- National
- International
Total # Employees
# Inside Sales*
# Outside Sales*
# Engineers*

Similar or Complimentary Products
List other products you work with that are similar or complimentary to Company products.
Value Added Services
Provide a description of your primary "Value Added" services (integration, training, custom development, consulting, etc.)
Reseller Agreement (please read)
Click HERE to view the Partner Agreement (opens in its own window). Please email or call the Partner Manager if you have any questions. By submitting this form, I agree to the terms of the reseller agreement.
Captcha - Check box if you are a person
Comments
This field is for validation purposes and should be left unchanged.

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Telephone

(833)532-3832

Email

[email protected]

Address

81 David Love Place #116
Santa Barbara, CA 93117

Business Hours

Open 9 am – 5 pm (PST)
Monday – Friday

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