8th March 2017 Justine Thomas Partner Application Form We know forms are a hassle which is why we’ve kept this short-ish and sweet. Please do not hesitate to call us if you need any help. We’re available to talk to you on 0330 056 3110 during standard office hours. I'm applying to be (select 2 maximum) *Referral PartnerTechnical ResellerAccredited InstallerCompany Name(Please enter your business name or if you don't have one - just enter your own name) Business Type *Sole TraderLimited CompanyLegal PartnershipLimited Liability PartnershipCorrespondence AddressCompany Registration Number (if applicable)Telephone Number *Post Code *WebsiteMain Contact - Name *Main Contact - Position *Main Contact - Telephone Number *Main Contact - Email *Billing Contact Email(If different from main contact)Please list any manufacturers you hold certification status with : Please list the types of technology you sell (e.g. networking hardware, cloud, WiFi etc : Please list any industry standards / certifications you work to (e.g ISO 9001) : Please describe the key markets in which you operate :If you're applying to be a Technical Reseller please tell us how you manage customer support requests :Are you able to act as remote hands to provide onsite support for SimRush customers? *Please SelectYesNoYour geographical coverage (please tick all that apply):All UKEnglandWalesScottish Highlands & IslandsRest of ScotlandN. IrelandIsle of WightBedfordshire and Milton KeynesBerkshireBlack CountryBucks and HertsCambridgeshireCheshireCornwallCoventry Solihull and WarwickshireCumbriaDerbyshireDevon & SomersetDorsetDurhamEast RidingEast SussexEssexHampshireHereford & GloucesterKentLancashireLeicestershireLincolnshireManchesterMerseysideN & NE LincsNewcastleNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshireRutlandShropshireSouth GloucsSouth YorkshireStaffordshireSuffolkSurreySwindonTelford & WrekinWest SussexWest YorkshireWiltshireWorcestershireI consent to being contacted by SimRush for marketing purposes by: (we do not pass your personal data to third parties for marketing purposes)EmailPhonePostView our privacy policy to learn more - https://www.simrush.com/privacy-policy/I Accept the terms and conditions AcceptThe SimRush partner program is managed by the Main Distributor, FreeClix. All terms and conditions can be found here - http://www.freeclix.com/terms-conditions/ CommentSubmit
