Blue Coat TIP Success

Please fill out the application below to become a Blue Coat TIP Partner. Bold indicates required fields:

Geographical Location: *

Company Information

Company Name: *

Website: *

Address Line 1: *

Address Line 2:

City: *

State or Province: *

Postal Code: *

Country: *

Company Industry: *

Number of Employees: *

How many offices do you have: *

Company Overview/Description:

Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

i.e. XXXXXXXXXX

Fax:

i.e. XXXXXXXXXX

Email Address: *

Lead Information

Why are you interested in partnering with Blue Coat:

Which of your company products are of interest to Blue Coat TIP:

URL Links to Product Information:

Do you know of any joint customers: *

Yes

List known joint customers:

Sales Model - Channel Sales Percentage: *

Sales Model - Direct Sales Percentage: *

Is this a Global Partnership: *

Yes

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