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| Name: |
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| Title: |
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| Company
Name: |
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* |
| Address: |
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* |
| City: |
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* |
| State: |
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* |
| Postal
Code: |
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* |
| Country: |
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* |
| Tel: |
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* |
| Fax: |
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* |
| Email: |
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* |
| URL: |
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* |
| Reason(s)
for partnering with HipLinkXS: |
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* |
| How
did you hear about Semotus Solutions / HipLinkXS? * |
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| Please
provide a brief description of your company. * |
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| Check
the items that best describe your company: * |
| Software-Hardware |
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| VAR/DAR |
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| Systems Integrator |
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| Application Mfr. |
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| IT Outsourcing |
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| IT Consulting |
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| Other |
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| In
what applications and platforms do you specialize? * |
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| How
large (in dollars) is your average sale? |
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* |
| Do
you have prior experience with HipLink. Please describe. * |
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| With
what other notification products, if any, have you worked? * |
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| List
any other locations to be covered by a partnership with Semotus
Solutions. * |
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| What
percentage of your sales falls into each of the following
categories? |
Small
Business %
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|
* |
| Medium
Business % |
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* |
Large
Business %
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* |
State
or Federal
Govt. % |
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* |
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