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business partners - registration form

Thank you for your interest in Reliance Globalcom's Partner Program. Companies that wish to become a Reliance Globalcom Partner should first complete the online form. Reliance Globalcom will then contact you to complete the approval process. Partners that meet the minimum requirements must also demonstrate a strategic value to Reliance Globalcom and its customers.

 

Partners will then enter into a formal agreement outlining the terms and conditions of the partnership.

 

Fields in bold are required information.

First Name: Last Name:
Title:  
Company:  
Address:  
City: State/
Province:
Zip/Postal Code: Country:
E-mail:  
Phone: Ext:


Which industries do you serve: (select all that apply)

Financial
Legal
Healthcare
Education
Government
Enterprise

Technology
Media
Manufacturing
Telecommunications
Other


What type of solutions do you provide: (select all that apply)

Infrastructure: Colocation Network
Technology: Software Hardware
  Networking Equipment
Services: Consulting Managed Services
  Application
        Services
Content Services
  Real-time
        Market Data

Other (please describe)

Comments:
 
 

 

 
 
 
 
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