eftia
Next Generation OSS
Partners
 
The Eftia Partner Program Application Form

Instructions: Please complete the following form and then click 'Submit Application.'
All fields are mandatory.

What type of partnership are you interested in reviewing?


How did you hear about us?

Please make a selection

If other:

Company Information
Company name:
Address:
City:
State/ Province:
Zip/ Postal Code:
Country:
Web site:

Please provide a brief company overview:
Date company established
(mm/dd/yyyy):
Parent company
(if applicable):
Number of international locations:
Number of US locations:
Number of world-wide employees:
Number of world-wide customers:
Public or private?:
D & B Number
(if public):


Partnering Information

Please specify value of your organization's OSS revenue (in US dollars)

1999
2000
2001 (forecast)

Are you currently working with any OSS application vendors?
 
If yes, then who:
Do you have existing clients that require an OSS solution today?
 


Points of Contact
Application Contact:

Name:
Title:
Phone:
Cell Phone:
Fax:
E-mail:


Who is the VP responsible for the Telecommunications vertical within your firm?
Name:
Title:
Phone:
Cell Phone:
Fax:
E-mail:


Who will be the primary contact from a Sales and Marketing perspective?
Name:
Title:
Phone:
Cell Phone:
Fax:
E-mail: