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Email Address

Your Email Address will be your user name. It will also be the address that will receive the above subscriptions and community updates.

Email: 

Contact Information:

Mr.   Mrs.   Miss.   Ms.   Dr.  

First Name:


Last Name:


Title:


Mailing Address:


City:


Province/State:


Postal/Zip Code:


Country:


Phone: (please include area code)


Fax: (please include area code)


Company Name:


Company Website URL: (please start url with "http://www")


Community Involement

Subscription Selections
Select all of the publications you would like to receive:

Daily:
eChannelline Canada
eChannelline USA
ConnectIT News Canada
ConnectIT News USA

Monthly:
Channel Advisor News

Periodicals:
Trusted Business Advisor
Canadian Partner Promotions
USA Partner Promotions


Councils and Programs
Check all you would like to participate in:
Sign up for the Trusted Business Advisor Program
Sign up to be a CLAC member
Register in the W3 Channel Enablement Program 1


1(sign up today and the first year fee of $7,200 will be waived)


Company Details:

Your Business Qualifies as a:


Business Type:

If Other, Please Specify

Job Title Type:

If Other, Please Specify

Which of these industries does your company work in? (Select all that apply)
NON-COMPUTER INDUSTRY
ManufacturingTransportation (highway, air, railroad, maritime)
Finance/Banking/Accounting/Venture Capitalist Mining/Energy/Utilities/Refineries
Insurance/Real Estate/Legal Engineering/Architecture/Construction
Government (Federal/State/Local) Tourism/Travel/Hotel/Restaurant Services
Aerospace/Defense/MilitaryEntertainment/Publishing/Broadcasting
Healthcare/HMO/Hospital/MedicalMarketing/Advertising/Public Relations
Pharmaceuticals/Biotech/AgricultureNon-Profit/Trade Association/R&D
EducationBusiness Services/Consultancy
Retail/Wholesale/Distribution

COMPUTER RELATED INDUSTRY
Computer ManufacturingComputer/Network Services Consultancy
Retail/Wholesale/DistributionISP/ASP/Communications Carrier
Telecommunications/Network Service ProviderIndependent Web/Software Developer or Vendor
System/Network Integrator or Provider/VARE-Commerce/E-Business Integrator or Provider
Data Processing Services/OutsourcingSecurity/Storage Provider/SAN Management


Which suppliers do you deal with?
D & H
Ingram Micro
Synnex
Tech Data
Other    

Company Size - Dollars:
Under $500K   $500K o $1M   $1M - $5M   $5M - $10M  
$10M - $25M   Over $25M

How Many Employees?
1-4   5-9   10-25   26-50   51-100   100+




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