QUALIFICATION FORM

Please complete the following form to request your place at IT ChannelVision Europe, 9-11 April, 2008 in Rome, Italy. After reviewing your completed form we will contact you regarding participation.

• Required Information
Which category best describes your business model?
Solution Providers - This category includes: VARs, Total Solution Providers, System Integrators, and Managed Service Providers. Attending Solution Providers from Europe provide complete hardware, software, and service solutions to multiple markets such as government, education, SMB, manufacturing, and healthcare.
System Builder/PC Assembler - Attending System Builders represent the sale of over 10 million units annually.
 
•First Name: 
•Last Name: 
•Job Title: 
•Company Name: 
•Corporate Address 1: 
Corporate Address 2: 
•Postal Code: 
•City: 
•State/Province/County: 
•Country: 
•Telephone: 
•Fax: 
•E-mail: 
•Company URL: 
•What is the focus (type) of your business? 
Other: 
 
•To what degree are you responsible for building the Vendor partnerships and alliances for your company?
•Do you have Profit & Loss responsibility?
•Regions Served: 
(Hold down the control or shift key for multiple selections.)
•Number of Employees: 
•Is your company publicly or privately held: 
•Annual Turnover: 
If the following categories are not applicable, type 0%.
•% Revenue from Hardware Sales: 
•% Revenue from Software Sales: 
•% Revenue from Services: 
•% Revenue from selling Solutions: 
•What percentage of your annual revenue of Hardware sales are dervied from the following solution? If the following categories are not applicable, type 0%. Values must add up to 100%
Networking   Peripherals
Storage   Digital Signage
Other   Total
 
If Other, please define:
•What percentage of your annual revenue of Services are dervied from the following categories? If the following categories are not applicable, type 0%. Values must add up to 100%
Consulting Services   Integration Services
Manager Services   Recurring Services
Software as a Service   Hardware as a Service
General Professional Services   Other
  Total
 
If Other, please define:
•What percentage of your business is generated from the following types of organizations? If the following categories are not applicable, type 0%. Values must add up to 100%
Very Small/SOHO (<10 employees)   Small (10-99 employees)
Midsize (100-500 employees)   Large (501-1000 employees)
Global (>1000 employees)   Total
•What is your average number of units of PC sales monthly?
Complete Systems   Notebooks
Mobile   Servers
Not Applicable  
•What percentage of your company revenue is generated from the following vertical markets? (If the following categories are not applicable, type 0%. Values must add up to 100%
National Government   Manufacturing
Local Government   Cross Industry
Healthcare   Education
Retail   Property Management
Consulting   Wholesale Distribution
Accounting   Financial Services
Legal   Consumer
Other   Total
•What are the primary business challenges you are facing?
•Which of the below categories best represents your core business focus?
First Choice:
Second Choice:
Third Choice:
•Who are your current vendor partners?
•Which vendors would you like to see attend IT ChannelVision Europe?
•What is your primary interest in attending this Event?
•How did you hear about our site?
 Priority Code:
 
 

If you have any questions, or need assistance in completing this form, please contact John Ellerton at +44 (0) 1784 267640 or email john.ellerton@gartner.com.