NCD Reseller Application

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Please read the criteria for becoming an NCD Diamond Partner, prior to completing the application in its entirety so you can take full advantage of all of the program benefits we offer for the membership level you select.

Contact Information

Company Name:
Sales Contact
First Name:	Last Name:
Title:

Address Information

Street: (please no PO Boxes)	City:
State/Province:	Country:
Zip/Postal Code:
Phone:	Fax:
E-mail:	URL:

Password Information

Your password will be used to access information in our Partner site and to update your profile should you wish to make changes. Please make a note of it for future login.
Select Password:	Confirm Password:

Membership Level

There are important differences between Authorized and Select membership. Take a moment to review the benefits and requirements of each level and choose the level that's right for you. Show me requirements and benefits of both
Authorized Level	Select Level
For Select Level Please Provide NCD Technical Training Certificate #

Technical Contact (for Select Level)

Name:	Title:
E-mail:	Phone:

Business Profile

Short description of your business:

Which of the following reselling relationships do you currently support

Citrix	HP	IBM
Microsoft	Neoware	Sun
Wyse	Other

Area of expertise

Citrix	Microsoft	UNIX
Other

How do you characterize your value add?

Hardware	Software	Installation
Customization	Training	Consulting
Technical Support Services

What markets and industries do you serve?

GSA Schedule

GSA schedule number (if applicable):

Sales Profile

Annual sales: $		% hardware
% software		% service

Preferred Distributor

None Any
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