NSi Gold and Platinum Business Partner Application
Company Info
Company Name: *
Contact Name: *
Phone: *
Position: *
eMail: *
# Offices: *
# Employees: *
# Sales Personnel: *
# Tech Resource Personnel: *
Company Address
Street: *
City: *
Country: *
State: *
Province: *
Zip Code: *
Phone Number: *
Fax: *
Information
1. Which partner level are you applying for? *
2. Are you currently or have you ever sold Notable Solution's AutoStore offerings? *
3. Approximate Company 2007 Revenue? *
4. Which of the following categories best describes your business? *
Others:
5. What are the main vertical markets on which your company focuses? *	Financial Services Healthcare Insurance Manufacturing Education Legal None
Others:
6. Which Document Imaging Scanner Manufacturers do you purchase? *	Kodak Fujitsu Ricoh Canon Panasonic Visioneer Bowe Bell + Howell None
Others:
7. What Document Imaging Software do you support? *	Kofax eCopy Captiva
Others:
8. Which Copier / MFP Manufacturers do you purchase? *	Canon Konica-Minolta Lexmark Ricoh Toshiba Sharp HP Xerox None
Others:
9. What Document Management Software do you support? *	Documentum SharePoint IBM-CM Lotus Notes/Domino OnBase None
Others: