Technology Partner Registration

Select your country to get started *

Your email address *

Choose a password (Must be minimum 8 characters long) *

Type password again *

First Name *

Surname *

Job Category *

Job Title *

Mobile Number *

Contact Landline

Address Line 1 *

Address Line 2 *

Postcode *

State *

Business Website URL *

Are you the primary contact for Venom? *

If you answered "No" to being the primary contact for Venom, state the name of who is.

Full legal name of organisation *

Trading Name (If it's the same as the legal name type "same") *

1) Number of branches/subsidiaries *

2) Principal Name *

3) Principal Title *

4) Organisation Structure *

5) Number of years in business *

6) Select all regions you conduct business in. * Australia North America South America Europe Asia Middle East Africa

7) Number of Staff *

8) What percentage of these employees are technical professionals? *

9) What percentage of these employees work in the sales force? *

10) What percentage of these employees are marketing professionals? *

11) Annual revenues for last FY? *

12) Software revenue % ? *

13) Service revenue %? *

14) Hardware - laptop/desktop/tablet revenue % ? *

15) Hardware - server/storage/networking revenue % ? *

16) Cloud services revenue % ? *

17) Primary route to market *

18) ACN or ABN or other appicable Tax ID *

19) What is your primary customer segment? *

20) What is your secondary customer segment? *

21) Which is your primary vertical market segment? *

22) Which is your secondary vertical market segment? (optional)

23) Which is your tertiary vertical market segment? (optional)

24) Tertiary Practice Area? (optional)

25) What other customer segments do you target? (optional) Consumer (home) Small Home Office Small Business (1-15 employees) Midsize Business (16-100 employees) Midsize Companies (101-499) Corporate (+500 employees) Federal Government State Government Small Government Entities Education Public Other

26) Resale revenue % ? *

27) Who are your top vendors of choice? * Acer ASUS Cisco CMM Dell EMC HP IBM Lenovo MSI Venom VMware

28) What industry certifications does your organisation have? (optional) Cisco EMC Storage HP Server HP Storage IBM Server IBM Storage Microsoft NetApp Storage Other

29) Select all the below that apply I want to submit sales deals & leads I would like to participate in Venom partner training I want to be published to the Venom Partner Finder directory

30) Has your company or its principals been convicted of bribery (or currently under investigation)? *

31) Are principals (or family members) currently or formally employed in a government position of po *

Enter additional information or comments here. (optional)

Once this application has been submitted please check your email inbox for a follow up on the application approval. If you do not receive an email please check your spam folder.

By clicking Submit, you confirm you have read and have agreed to our Terms & Conditions and UNDERSTAND that to receive the benefits of the Venom Partner Program and to maintain your Partner status, you must maintain an active buying relationship with Venom and fulfill a basic certification program.

Human verification to prevent spam, please answer "What colour does not reflect any light?" *