Partner Registration Form

Please provide the following information. A NIKSUN representative will contact you shortly. Fields marked by an ‘*’ are mandatory.

Company Information:

* Company Name
*Address 1
Address 2
* City
* State or Province
* Zip or Postal Code
* Telephone/Fax
* Contact Name
* Email
Type of Partnership :


* Industry
* Geography
* Account Type
Federal government resellers please Contact


* Annual Revenue $
No. of Employees
* Sales * Tech Support
* SE’s * Other

Support Capabilities (to perform Tier 1 and 2):

24 x 7? Yes or No
Support details – Hours, Type
(telephone, on-site, etc.)

Professional Service Capabilities:

* Consulting
* Systems Integration
* Project Management

Business Strategy:

* Other products carried
(including competitors)
* How do NIKSUN products fit into your business strategy?
* Desired Relationship (Reseller, Integrator,
Sales Representative, Other)
* Targeted Annual NIKSUN Revenue

*NIKSUN will use the information you provide on this form for the purpose you provided it , and to periodically provide updates and marketing. By selecting the "Opt-In" box below, you agree that we may process your information in accordance with our privacy policy found on our website. You can change your mind at any time by clicking the unsubscribe link in the footer of any emails you receive from us, or by contacting us at