Click121.com:

Affinity Partnership Program Inquiry

Thank you for your interest in Click 1-2-1.com. Working with Click 1-2-1.com will give you the opportunity to leverage your organization in two of the fastest growing business segments today, Internet and Telecommunications. And working together as Partners, we can expand offerings and provide comprehensive, best-in-class solutions.
If you would like to proceed with an application to our program, please complete the application that follows.

ALL THE FIELDS MARKED WITH AN (*) MUST BE COMPLETED IN ORDER FOR THE FORM TO BE ACCEPTED.

AFFINITY PARTNERING INFORMATION

Specify your primary geographic focus: *

Specify your secondary geographic market(s): *

(check all that apply)

Americas	EMEA
Asia-Pacific	Global

Type of Partner: *

Vertical Specialization:

COMPANY and CONTACT INFORMATION

Company Name: *

Salutation:*

First name:*

Last name:*

Job title:*

Address 1:*

Address 2:*

City: *

State: *

Province: *

Country:*

Zip/Postal Code: *

Telephone: *

Fax:

Email:*

Web Site URL:

Company Description:*

Please provide a brief overview of your company and the services you provide

Why do you want to work with Click 1-2-1.com?*

What is your value proposition?*
How would our potential partnership add value to the market/customers?

Are you currently partnering with any Click 1-2-1.com competitors?*

Are you currently partnering with, have developed, or are currently selling any complementary or related Live Connectivity or CRM solutions?*

What is the approximate potential ($) of your business proposition?*

SPONSORSHIP INFORMATION

Click 1-2-1.com Sponsorship:
Please identify any Click 1-2-1.com representatives or Partners you are currently working with:

Customer Sponsor:
Please identify specific customers you are currently working with who have identified the need for a Live Connectivity solution.

Customer Contact 1

Company

Contact Name

Telephone:

Email:

Describe how your services are being used by the customer:

Customer Contact 2

Company

Contact Name

Telephone:

Email:

Describe how your services are being used by the customer: