Company Information |
* Name |
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* Address: |
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* City: |
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* Zip Code: |
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* Country: |
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* Phone : |
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Fax: |
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* E-Mail: |
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URL: |
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* VAT/ Tin Number: |
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Year Established: |
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Last Year's Revenues: |
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* Please indicate the description that most accurately describes your company: |
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If other:
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* Please indicate the number of employees in your organization: |
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Contact Information |
Primary Contact |
* Name: |
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* Job Title: |
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* Phone: |
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* E-Mail: |
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Sales Contact |
Name: |
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Job Title: |
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Phone: |
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E-Mail: |
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Marketing Contact |
Name: |
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Job Title: |
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Phone: |
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E-Mail: |
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Accounts Payable Contact |
Name: |
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Job Title: |
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Phone: |
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E-Mail: |
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Market Information |
* Please indicate your primary target market: |
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Please indicate the three vertical markets that your company primarily focuses on:
(e.g. Education, Healthcare, and Manufacturing) |
Primary Vertical Focus: |
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Second Vertical Focus: |
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Third
Vertical Focus: |
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* Please indicate the regions your company sells into: |
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West India
South India
North India
East India |
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Please indicate what percentage of your revenue the following account for: |
Hardware: |
0-25%
25-50%
50-75%
75%+ |
Software: |
0-25%
25-50%
50-75%
75%+ |
Services: |
0-25%
25-50%
50-75%
75%+ |
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* Please indicate which storage brands you currently sell: |
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EMC
HP
Sun
NetApp
Dell
IBM
Hitachi |
Other |
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Additional Information |
Please indicate which products you are most interested in:
(check all that apply) |
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Databases |
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Other |
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* Please indicate how you first learned of BCPL Storage: |
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Received Call from BCPL Sales Representative (Name):
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Referral from (Company/Name):
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Internet Search (Engine/Keyword):
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I am a past or current customer:
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Other:
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