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SaaS Hosting Partner Application

Please complete all fields to be considered for partnership.
By filling in the following area, you will help us determine how to classify you in our partner database. Please fill out these questions to the best of your ability.

First Name: *

Last Name: *

Title: *

Company: *

Company URL: *

Address: *

City: *

State: *

Zip: *

Country: *

Phone: *

Email: *

Are you a current OpSource customer?: *

Number of Employees: *

Annual Sales Revenue: *

Describe company focus: *

Why do you want to be an OpSource partner?: *

Do your customers or prospects have a need for Hosting/Managed Services?: *

Have you made referrals to Hosting or Managed Services providers in the past?: *

Vertical Markets Served:

CRM

ERP

SCM

BPM

PIM

EDR

Mobile Content

SaaS

Compliance

Content Apps

Messaging Apps

Service Related Apps

Wireless

Other

(check all that apply)

Industries Served:

Education

Entertainment

Environment

Finance

Gaming

Healthcare

Hospitality

Legal

Manufacturing

Real Estate

Technology

Transportation

Other

(check all that apply)

I'm interested in the following:

OpSource Connect Certified Integrator Program

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