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EXTOL Business Partner Application Form

First Name *

Company *

Address 1

City

Zip Code

Email *

Last Name *

Title

Address 2

State

Web Site

Daytime Phone *

Company revenue: *

Number of employees:

Number of customers:

Industries/markets served (list all relevant industries): *

Are you a: *

Software Vendor Services Vendor

Types of consulting and/or implementation services offered, if applicable:

B2B Strategy
ERP Vendor/Software Selection

Business Justification
Integration/Implementation Services

Company's current partnerships with major ISV (SAP, Oracle, IBM...)

Why are you interested in partnering with EXTOL? *

What type of partnership are you interested in? *

Consultant Referral Reseller

Are you currently working with a customer/prospect who is interested in purchasing a new B2B solution?

Yes No

Are you looking to provide services to an existing EXTOL customer?

Yes No

Do you have trained technical resources available that are capable of implementing a B2B solution?

Yes No

If yes, please list the regions/countries where these resources are available.

Cross-Platform Business Integration		Native EDI Integration for IBM System i		External Communications Products
EXTOL Business Integrator EXTOL EDI Integrator Option Modeling and Design Automation EXTOL Integration Studio EXTOL Enterprise Adapters (EEA) for Applications EEA for Oracle® E-Business Suite EEA for SAP Global Data Synchronization for 1Sync EXTOL Data Synchronizer		EXTOL EDI Integrator for i EXTOL Enterprise Adapters (EEA) for Applications EEA for HIPAA EEA for Oracle JD Edwards Enterprise One/World EEA for SAP EEA for TMW-IES		Secure AS2 Communications EXTOL Secure Exchange Internet Value Added Network (VAN) Services EXTOL Portal