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CAPTARIS

New Partner Registration Form

Thank you for your interest in Captaris! Please tell us a bit more about your organization so that we may better assist you in the partner application process. A * Denotes a required field.

Company Name: *
Primary Contact: *
Email: *
Address: *
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Phone: *
Fax:



Tell Us About Your Company
Partner Type: *

Number of Employees: *

Year Established:

Total Annual Sales: *

How did you hear about Captaris products: *

What other companies do you currently partner with:

Typical customer size: *

How large is your existing customer base: *

In which vertical markets do you sell? *
Software High Tech	Manufacturing	Computer Hardware
Financial Services	Legal Services	Government
Telecommunications	Health Care	Education
Transportation	Insurance	Utilities
Pharmaceuticals	Other

I wish to Resell: * Select all that Apply
Captaris RightFax	Captaris Workflow

Once you complete and submit this form, you will be contacted by a Captaris Channel Sales Manager for qualification within 5 business days. Your completed profile does not guarantee partnership with Captaris. Once approved, you will be able to download the Captaris Reseller Agreement and other necessary forms to submit for processing.

Please direct questions to ChannelDevelopment@captaris.com.