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Approved Channel Partner Program

Full Name:

Please complete the following fields, using only English characters (e.g. e' as e):

* First name:   
* Last name:
* Country:
* Company:
* Type:
* Email:
* Phone:
Zip Code:
Company Profile
Year Established:
Number of Employees:
Annual Revenue:
Main Business:
(Check all that apply)
Hardware Sales Software Sales
Server Based Computing Integration Services
Virtualization Networking Infrastructure
Citrix Partner Level:
Microsoft Partner Level:
VMware Partner Level::
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I hereby, as an authorized company officer, confirm that the information I am about to submit is valid and correct as of today. Please accept this as the official application to become a Chip PC® Approved Channel Partner.

  • Pending Chip PC approval
  • Subject to change without prior notice
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