APPLICATION TO JOIN VERTIV PARTNER PROGRAM

How did you know about the Vertiv Partner Program?

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Your Name and contact information*

Salutation

Your first name

Your last name

Your job title

Telephone number

Email address

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Company Name and contact information*

Company legal name

Doing business as

Address 1

Address 2

Town / City

Your country

Year founded

Company website url

CUSTOMER INDUSTRY FOCUS* (SELECT ALL THAT APPLY)

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add any additional contacts

First name

Last name

Department

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service and support provided*

Top vendor #1 Company Name

Top vendor #2 Company Name

Top vendor #3 Company Name

Vertiv Product Areas of Interest: (Select all that apply)

Hardware %

Software %

Services %

WHY WOULD YOU LIKE TO BECOME A VERTIV PARTNER?*

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