ESRI Business Partner Complementary Technology Provider Program Interest Form

Complementary Technology Provider Program Interest Form

THIS IS NOT AN APPLICATION

Thank you for your interest in the ESRI Complementary Technology Provider Program. We invite you to provide us with an introduction to your business and your goals for forming a Complementary Technology Provider relationship with ESRI. Submission of this questionnaire does not automatically grant you authorization into the Business Partner Program. Once we have received your submitted questionnaire, an ESRI representative will contact you.

The information provided below will be kept confidential.
All fields are required.

Company Name:
Address:	(If your company has more than one office, please provide the address of the office from which this inquiry originates.)
City:
State:
Province:
ZIP or Postal Code:
Country:
Telephone:
Fax:
Company Web Site:
First Name:
Last Name:	(or the name of the person we should call to pursue this inquiry)
Title:
E-mail:
Are you currently a licensee of ESRI software? Yes No If yes, please specify which software:
ESRI Customer No.:

Please answer all questions.

Please provide us with a general overview of your current business.

In what year was your company established?

Number of employees:

What is your primary industry market focus?

Please provide a brief description of your products and/or services.

How do your products and/or services complement ESRI's family of GIS software?

What would your organization like to accomplish as an ESRI Complementary Technology Provider business partner?

Have you had any interaction with anyone else at ESRI regarding a possible business partner relationship? If so, who?

Please provide links (URLs) to additional information (company profiles, product and service brochures, and marketing brochures) on your Web site to support your interest form. (Optional)

Thank you for your interest in the ESRI Business Partner Program. If you have question about the program, please contact a business partner development manager in your area, or e-mail: buspartners@esri.com.