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Channel Partner Application Form

If you are interested in becoming an Panoramic universal Limited (Formerly known as IT Microsystems (India) Ltd.[ITMIL])
Channel Partner/Distributor, please complete the form below.

Contact Details:

 
First Name:
Last Name:
Company:
 City:
State (if located in the INDIA):
Country:

Telephone Numbers:

Office: 

 (With STD Code.) 		Mobile: 
e-Mail:
 Web Site:

Company Primary Activities:

  
  Software Developer
Certificate Service Provider
Internet Service Provider
Value Added Reseller
Hardware Developer
Hardware Vendor
Systems Integrator
Consultant
Distributor
Other (please specify):
Number of employees:  
Total:
Sales:
Tech. Support:
In what year was your company founded?  Number of resellers
(if applicable) 
Indicate the vertical markets your company operates in:  
Financial
Government
Military/Defense
Legal
Telecommunications
Education
Utilities
Health Care
Other (please specify)
Brand names of the main products currently offered in your portfolio: 
Territories covered:
Where do you see the business potential for ITMIL products?
Please give a brief outline of your planned sales and marketing model for ITMIL products:
Please take a moment to tell us how you heard about ITMIL
 
 
 
 
   
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