Partner Program Registration Form

    Thank you for your interest joining the Open Text Partner Program.

    Please complete and submit the application form below. This application will be reviewed and you will be notified by a partner manager as to whether your application will be given further consideration.

    If you have questions about your application, please contact partners@opentext.com.

    Company Information

    Company:*
    		 Region:*
    First Name:*
    		 Phone:*
    Last Name:*
    		 Fax:
    Job Title:
    		 Email:*
    Street Address:*
    		 Website:
    City:*
    		 Stock Symbols:
    State/Province:*
    Zip/Postal Code:
    Country:*

    Business Information

    Primary Business Focus:* Reseller
    Integrator
    OEM
    Internet Service Provider
    Software Development
    ASP
    Other, please describe in the box below
    How many employees are in your company?*
    1-10
    11-50

    		 51-100
    100 or greater
    Annual Revenue:*
    Less than 1 million
    1-5 million
    5-10 million
    10-25 million

    		 25-50 million
    50-100 million
    100-150 million
    Greater than 150 million
    Year Started:*
    Partner Geographic Area Served:
    Local
    Regional

    		 National
    International
    Please describe your geographic focus:
    What type of partnership are you interested in forming with Open Text? * Distribution
    Product
    Technology
    Services
    Please describe your partnership strategy with Open Text:*


    Do you have an customer opportunity that would involve Livelink? Yes
    No
    If yes, please describe the opportunity in the box below. For example, what is the budget available? The number of users? What is the business problem the opportunity would solve? What is the time frame for a final decision?

    Vendor Relationships

    Partner Program Membership:
    Oracle Business Alliance
    Sybase Solution Provider
    Microsoft Solution Provider
    Novell Platinum or Gold

    		 Back Office Environments
    Lotus Business Partner
    SAP Channel Partner
    SAP Services Partner
    Other
    If you selected SAP Services Partner above
    Please specify the number of SAP certified consultants:
    Operating Systems Supported:
    Windows XP
    Win 2000
    Win NT
    Win 98
    SUN

    		 Solaris
    SCO
    HP-UX
    Other

    Target Markets

    Primary Target Markets of Partner:*
    Business Process Management
    Content Management
    Corporate Governance
    Document Management
    Enterprise Collaboration

    		 Knowledge Management
    Learning Management
    New Product Development
    Program Management
    Regulatory Compliance

    Industry Sectors

    Primary Industry Focus of Partner:*
    Automotive
    Chemical
    Consumer Packaged Goods
    Engineering, Construction, & Operations
    Financial Services
    Government DOMEA
    Government General
    Government Public Sector
    Government US Federal
    Government US State

    		 Health Care & Hospitals
    Higher Education
    Legal
    Manufacturing
    Media
    Oil & Gas
    Pharmaceutical & Life Sciences
    Services
    Telecommunications
    Utility & Nuclear

    Comments

    Additional Comments: