SwiftPage Email

New Reseller Application:
Today's Date:*

Company:*

First Name:*

Last Name:*

Phone #:*

E-mail:*

Address:*

City:*

State:*

Zip:*

Country:*

Do you currently email your existing clients and customers?*
Yes No

Are you willing to send quarterly Swiftpage promotions to your clients? (Requirement to be a Swiftpage Reseller)*
Yes No

What do you estimate your current client base to be?

Website:*

Are you willing to add Swiftpage content to your website? *
Yes No

Which page on your website would you place Swiftpage content? (If none or not sure, type NA)*

Which integration of Swiftpage will you promote the most? (For custom landing page purposes, that we will create for you.)*
ACT! by Sage Microsoft Excel Microsoft Outlook Sage CRM SalesLogix Hosted Solution

What other products do you offer to your customers? (Select all that apply)*
ACT! SalesLogix SageCRM Quickbooks MAS ACCPAC Timberline SalesForce.com SugarCRM None of the Above

If you are a Sage Business Partner, what is your partner type?

Why do you want to become a Swiftpage Reseller? *

* Indicates field is required.