The Enterprise Social Media Boot Camp Vancouver
Wednesday, June 19, 2013 10:00 AM - 6:45 PM (Pacific Time)
VARTrends Central USA
Chicago, June 25th, 2013
VARTrends East USA
Boston, July 23rd, 2013
VARTrends Sydney
Sydney, Australia Sept. 9th 2013
VARTrends Melbourne
Melbourne, Australia, Sept. 12th, 2013
VARTrends West USA
San Francisco, October 8th, 2013
VARTrends UK
November 1st, 2013
VARTrends France
November 4th, 2013
VARTrends Germany
November 7th, 2013
"Let ChannelNext help you develop and execute your next private reseller, end-user or corporate event"
Click here
Free Post Event Guide
VARTrends East USA
Boston, July 23rd, 2013
Overview
Agenda
Seminars
Activities
Vendors
News
Travel
Register
Sponsor

Only One attendee is allowed per company.

VARTrends East USA Qualification Form

Please complete the following form to apply for your FREE VIP attendance to the upcoming ChannelNext event in your region. Only completed forms will be considered for VIP status at the ChannelNext Event. Only one attendee is allowed per company unless approved in advance. Only 100 FREE VIP passes are available per event so please apply today if you do not want to miss this unique opportunity to benefit your business.

Priority Code: (leave blank if not applicable)
First Name*
Last Name*
Title
Company*
Address*
City*
State*
Zip Code*
Telephone*
Fax*
Email*
Web Site
   
Have you attended any other ChannelNext event in the past 12 months?
Please indicate your attendence preference: Attend full-day event between 9:00am and 5:00pm

Optional Information
1. How do you best describe your business?

2. Average Unit System Sales per Month:

  Servers
  Notebooks/Tablets
  Desktops
  Printing and Imaging
3. Territory

4. Please list the number of locations for your distribution/sales offices:

  Number of locations

  City, Provinces or States:
5. Number of years in business:
6. Number of Employees:

7. Which of the following best describes your firm’s primary and secondary business?

Primary
(checkk one)
Secondary
(check all that apply)
  
Large/Enterprise (1000+ employees)
Mid-Market (100 to 999 employees)
Small Business/SOHO (1 to 99 employees)
Network Infrastructure
Security Solution Provider
Storage Solution Provider
Systems Integrator
Managed Services
Government
Cloud
Online B2B and Online B2C
Education
Mobility/B.Y.O.D.
8. Annual revenue:

9. Vertical Markets (check all that apply)

  Construction  
  Education  
  Engineering/Scientific  
  Entertainment/Media Publishing  
  Federal Government  
  Financial Services/Accounting  
  Healthcare/Medical/Dental/Pharmacy  
  Insurance  
  IT Security  
  Legal  
  Manufacturing  
  Real Estate  
  Retail  
  Telecommunications  
  VOIP  
  Other  

10. Of the products your organization sells, what percentage is purchased from:

  Distributors %
  Direct from Manufacturers %
  Other Resellers/Solution Providers %

11. Name your primary and secondary distribution partners:

  Primary
  Secondary

12. List below any Vendor Program Affiliations and Certifications.
Format: Vendor: ProgamName/Certification Level (example: HP: Partner Program/Gold Level)

13. List Key brands of components and peripherals sold

14. List below any Awards/Honors or Recognition your organization has received:

16. Name your 2 key challenges as a reseller:

  1.  
  2.  
For Security Purposes, please enter the following code

By submitting this participation request form to attend the upcoming VARTrends event, you agree that if you are accepted to attend for FREE and you do not cancel your acceptance within 7 days of receipt, that you are accepting to attend the ChannelNext event. Once these 100 spots are reserved, other resellers will not be able to attend. If you think you will not be able to attend, please inform us ASAP so we can re-open the spot to another reseller.

Thank you for your corporation and understanding!

VAR acknowledges that they must attend all mandatory sessions.
VAR acknowledges that the application submitted to Technoplanet accurately represents their business.