Partners - Procera Networks

If you are interested in becoming a Procera Networks Partner, please fill out the following form completely and press Submit. Please allow up to 2 weeks for us to process your application.

* Denotes a required field

CONTACT INFORMATION
First Name: *
Last Name: *
Title: *
Email: *
Phone: *
COMPANY INFORMATION
Company Name: *
Address: *
City: *
State/Province:
Zip/Postal Code: *
Region: *
Country: *
Phone:
Fax:
ABOUT YOUR COMPANY
Year Company Established:
Number of Office Locations:
Territory Served:
Total Number of Employees:
Number of Sales Representatives:
Number of Engineers/Technicians:
What is your annual revenue in US dollars?:
Current data networking products you sell/deploy:
Major certifications obtained:
Company Type:
If "other," please describe:
What is your company's business model? :
What is your company's vertical market focus?:
Please list several reference accounts:
Do you provide technical customer support services?:	Yes
ADDITIONAL INFORMATION
What unique value-add do you offer your customers? :
Why are you interested in becoming a Procera partner?:
If you have already spoken with a Procera sales representative, please tell us who:
How did you hear about Procera Networks? Do you have any additional comments or questions?: