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Partners
Please complete the form below to apply for membership in the Tizor PartnerTrust Program.
*
required
First Name:
*
Last Name:
*
Email Address:
*
Verify Email Address:
*
Password:
*
(between 6 and 10 characters. If approved, this will become your partner extranet password)
Title:
*
Phone Number:
*
Company Legal Name:
*
Company URL:
*
Corporate Address:
*
Corporate Address2:
City:
*
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
If you have offices in more than one state, then specify locations
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip:
*
Country:
*
If you have offices in more than one country, then specify locations
Choose all that apply
Africa
Asia Pacific
Australia
CIS
Canada
Europe
Japan
Latin America
Middle East
United States
Programs Applying For:
Choose all that apply
PartnerTrust for Resellers
PartnerTrust for Integrators and Consultants
PartnerTrust for ISVs
Which Industry do you specialize in?
Choose all that apply
Aerospace
Agriculture
Apparel
ASP/ISP
Automotive
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Consumer Packaged Goods
Defense
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance and banking
Food & Beverage
Government Federal
Government State and Local
Healthcare
Hospitality
Insurance
Legal
Machinery
Manufacturing
Media
Not For Profit
Other
Recreation
Retail
Shipping
Technology
Telecommunications
Transportation
Utilities
Industries
Information Technology and Electronics
Pharmaceutical
Postal Services
Property and Real Estate
Public Service and Administration
Public Services Justice, Order,Safety
Services
Travel Hotel and Catering
No Specific Industry
Which data consulting services do you offer?
Choose all that apply
Architecture
Design
Staff Augmentation
Managed Service
Data Protection Best Practices
Data Governance
Data Theft/Breach
Data Auditing
Data Security
Other:
In which areas do you have expertise?
*
Choose all that apply
PCI
SOX
Privacy
CA 1386
HIPPA
Other:
What Differentiates your Company?
*
How Many Employees Do You Have?
Under 50
51-100
101-1000
1001-5000
5000+
What is your Annual Revenue?
Under $1 million
$1 million to $5 million
$5 million to $100 million
$100 million +
Comments?
If you have any questions, please email
partners@tizor.com
or call 1-800-231-8224.
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