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:: Alliance Application

General Company Information
Company Name
Address
Phone
Fax
Website (URL)
Company Description
Contact Name
Title
Contact Phone
Contact Fax
Contact Email
Company Type

Questions About Your Company

What is your Company Structure:        

If other, please describe:  

Is your company:        

If other, please describe:  

Years in Business:   

Services your company offers:   

Areas of expertise:   

Please describe the level of your company's experience in the areas of Fiber. Data Centers, Switches, etc...

Regions served:   

Total number of employees/consultants:   

Types of alliances you would be interested in:    

Type of training your company provides its staff:   

Please list companies you are currently doing work for:

Please list companies you have done work for in the past:

Please supply references here, if any:

How did you hear about Interaqt?
        Received Mailing    On the Web    Industry Publication    Other