PartnerReg - ATS Network Management

Partner Application and Registration

Business Details

Company Name*

Applicant First Name*

Applicant Last Name*

Applicant Email Address*

Applicant Mobile Number*

Applicant Designation*

Website

Street Address*

Billing/Postal Address

Country*

Business Registration Number*

Vat Registration Number*

Business Email*

Business Phone*

Existing Solarwinds Partner*

Directors and Business Contacts

Owner/Director 1 - Name*

Owner/Director 1 - Surname*

Owner/Director 1 - ID Number*

Owner/Director 1 - Mobile*

Owner/Director Email*

Owner/Director 2- Name

Owner/Director 2 - Surname

Owner/Director 2 - ID Number

Owner/Director 2 - Mobile

Owner/Director Email 2

Sales/Technical Contact 1

Sales/Technical Email 1

Sales/Technical Contact 2

Sales/Technical Email 2

Accounting Officer Contact 1

Accounting Officer Email 1

Accounting Officer Contact 2

Accounting Officer Email 2

Trade References

Trade Reference 1 - Name

Reference 1 - Telephone

Trade Reference 2 - Name

Reference 2 - Telephone

Trade Reference 3 - Name

Reference 3 - Telephone

How long has the Business been Trading? (years)

Name & Address of Holding Company (if applicable)

Credit Limit

What is the nature of business activities?

Company Registration

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Partner Application and Registration