Alliance Partner Application Form
 
Thank you for your interest in becoming an Alliance Partner. Please complete all fields on the form below and we will contact your shortly.

If you would like further information about our Alliance Partner Program and do not wish to fill out the form, please Contact Us through our worldwide offices.
 
Company Info :
Fields marked with  *  are mandatory
Name :   *
Address :   *
City :   *
State :  
Zip :   *
Country :   *
Telephone :  
Country code:
Area code:
Number: *
Fax :  
url :   *
  Ownership :   Private Public Other
Contact Info :
First Name :   *
Last Name :   *
Title :   *
Phone :  
Email :   *
Generix service (s) & product (s) which you plan to integrate or resell (check all that apply):*
Products
Smart Business Suite Max Backup
Smart e-Pos System Smart Message Viewer
Services
Application Development Business Management System
Web Development & e-    Solutions Networking and Hosting Solutions
Web Marketing Interactive Multimedia CD
IT Managment & Consultancy
Please provide a brief description of your business (up to 600 characters):*

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How did you hear about us : *
Please Specify : *

 
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