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 Partner Application

Please fill out the following form and an I.T.I. channel marketing representative will contact you.

Your Information
Name:
Title:
Phone: Extension
Fax:
Email:
Company Information
Name:
Address:
City:
State: Zip Code:
Web Site:
Sales Contact:
Name:
Phone:
Email:
Technical Contact
Name:
Phone:
Email:
Accounting Contact
Name:
Phone:
Email:
Briefly describe your business and the products and services you sell.
Number of employees:
Annual sales volume:
Are you currently reselling any Internet services? Yes No
Annual sales volume of Internet services:
Please list the Internet products and services you currently sell.