Partner Application

Please read the Consulting Partner Program Requirements and Benefits before completing the application.

Fields marked with (*) are mandatory

Personal Information

*Position:
Country:
State:
Zip Code:

General Company Information

*Date company established (dd/mm/yyyy):
*Public or private:
*List 10 most recent customer implementations:
*List which customers from above are references for your company and what solution was implemented.
*May we contact 3 of them?
*If Yes, please provide contact information for the 3 customers.
*If No, Why not?
Do you provide pre and post-sales services around these solutions? (check all that apply)
*Territory Coverage
Please describe the geographic territory (city, state, province, country, etc.) in which you are proposing to provide implementation services on KY&Y products :

Business Profile

What are the total (est.) revenues for your company? (in US Dollars)

Prior Year:

*Would you be willing to sub-contract consultants to KY&Y ?
*List Services by your company
*What KY&Y Consulting solutions are you interested in providing services around? (check all that apply).
*Briefly describe your business objectives for partnering with KY&Y Consulting. Please indicate any vertical and/or domain expertise that you have. Also include your current pre-sales, implementation and post-sales capabilities.

Key Contacts

President/CEO
Please include Name, Title, Phone, Fax and Email:
Business Development/Alliance Contact
Please include Name, Title, Phone, Fax and Email :
Primary Technical Contact
Please include Name, Title, Phone, Fax and Email :
CAPTCHA
This question is for testing whether you are a human visitor & to prevent automated spam submissions.
44+6
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.