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  • Partner Program
    •
  • Developers
    •
  • Industry Partners
    •
    		 

    Primera Partner Application
    1-763-475-6676 or 1-800-797-2772

    *Denotes required field

    First Name:*
    Last Name:*
    Title*:
    Company:*
    Address:*
    Address2:
    City:*
    State/Province:*
    Postal Code:*
    Country:*
    Phone:*
    Fax:
    Email:*
    Website URL:*
    Number of Sales Representives:
    Number of Sales Engineers:
    What was your company's approximate gross revenue for 2007?
    What percentage of your revenue is derived from the following (Total should equal 100%) ?
    % CD / DVD Duplicators
    % CD / DVD Printers
    % CD / DVD Media
    % CD / DVD Packaging
    What percentage of your revenue is comprised of the following (Total should equal 100%)
    % Macintosh
    % Windows
    % UNIX_Linux
    % Novel_Netware
    % Other
    If other, please specify.
    Which best describes your business function?
    If other, please specify.
    How many locations do you have?
    Please list your top distributors in order of preference.
    1.
    2.
    3.
    How did you hear about Primera?
    Magazine Client
    Advertisement Distributor
    Review Direct Mail
    WWW    
    Other
    What can we do to help you sell CD / DVD duplicators and printers?
    To submit this application, you must agree to the terms and conditions of the Primera Partner Agreement. Please read before submitting.
    I agree to comply to the terms and conditions outlined in the Primera Partner Agreement.
     
     
    Copyright 2007