Partner Application Please fill out as much information as possible.Step 1 of 250%Company InformationCompany Name*Address* Street Address Address Line 2 City State / Province ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Region*NoneAPACEMEALATNAMWebsite* Email Domain Used*Domain associated to the partner account, ex: @company.comCompany Phone*Years in Business*Your Contact InformationName* First Last Business Email Address* Job Title*Contact Telephone*Business Function*ExecutiveMarketingSalesOperations/AdministrationSEProfessional ServicesCustomer SupportJob Role*Are you the primary partner contact?YesNoPartner Signatory Contact The same as aboveName* First Last Business Email Address* Job Title*Contact Telephone*Business Function*ExecutiveMarketingSalesOperations/AdministrationSEProfessional ServicesCustomer SupportJob Role*Partner Marketing ContactName* First Last Business Email Address* Job Title*Contact Telephone*Business Function*ExecutiveMarketingSalesOperations/AdministrationSEProfessional ServicesCustomer SupportJob Role* Additional QuestionsDo you have a Badu Networks opportunity pending?*YesNoWhat were your total annual sales revenues last year?*NoneBelow 500 thousand USD500 thousand to 1 million USD1 million to 5 million USD5 million to 10 million USD10 million to 50 million USDAbove 50 million USDPlease indicate the number of employees in your organization:*None1 - 56 - 1516 - 2526 - 5051 - 100101 - 1,0001,001 - 5,000More than 5,000Please indicate the number of sales personnel in your organization:*Outside SalesInside SalesSales Engineers (application/hardware) Please specify the TOP 3 industries you are selling into:* Banking Education Energy, Oil/Gas & Natural Resources Financial Securities Healthcare Insurance Manufacturing Media, Internet & Entertainment Software/IT Enabled Services Pharmaceuticals Retail Telecommunications Transportation US Federal Government US Local Government Non-US Government OtherPlease specify what percentage of your business is: (total should be 100%)*Product SalesServices SalesConsulting Sales Do you provide your own brand of professional services?*YesNoDo you provide technical support? (choose all that apply)* Telephone Support Online Support On-site Engineers Not ApplicableWhat is your primary target market size?*NoneVery Small (1 - 99 employees)Small (100 - 999 employees)Mid Market (1,000 - 50,000 employees)Enterprise (above 50,000 employees)Please indicate your marketing offerings availability: (choose all that apply)* Dedicated Marketing Resource Multi-touch Strategic Marketing Commitments to Marketing Funding Not ApplicablePlease indicate if you are an authorized partner of one of the following: (choose all that apply)* Cisco Citrix Dell/Ecologic/EMC Infoblox Microsoft Nutanix Riverbed VMWare Zscaler Not ApplicableDo you integrate cloud solutions with any of the vendors listed above?*YesNoDistributor of Choice:*Tax ID Number:*Acceptance of Terms*By submitting this application, the applicant is requesting Badu Networks' approval to procure Badu Networks products from a local Badu Networks authorized distributor. The applicant acknowledges that Badu Networks may grant or withhold this approval in its sole discretion and, once granted, may terminate its approval for any reason upon thirty (30) days advance written notice. Upon termination of Badu Networks' approval, the applicant will no longer be authorized to procure Badu Networks products and will immediately cease use of all Badu Networks material, including but not limited to Badu Networks products, marketing material and Badu Networks trademarks. I acknowledge that I have read and agree with the above statement.