Thank you for your interest in attending IT ChannelVision: Government Edition. We ask that you complete and submit the following Event Interest Form. After reviewing your submitted form we will contact you with a response and/or confirmation.
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| Sender E-mail: |
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| Company Name: |
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| Corporate Address 2: |
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| Company URL: |
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| Which of the following best describes your firm's primary and secondary business? |
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| What percentage of your business is focused on the following areas? (must add up to 100%, please put 0% if it does not apply |
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| To what degree are you responsible for building the vendor partnerships and alliances for your company: |
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| What is the number of employees in your entire organization? (including all divisions, branches and subsidiaries) |
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| Does your company have a practice area/division focused on the government sector? |
Yes No |
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| Are you part of this practice area? |
Yes No |
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| What is your company's total annual revenue? |
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| What percentage of this total revenue was from business in the federal sector? |
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| What percentage of this total revenue was from business in the state & local government? |
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| What percentage of this total revenue was from corporate business? |
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| What percentage of your business is done directly with the federal government (prime)? |
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| What percentage of your federal business is through channel partners (subcontractor)? |
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| Other: |
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| What territory does your company cover? |
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| What percentage of your total revenue comes from the following areas (must total 100%)? |
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| Please select your category of interest: |
| First Preference: |
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| Second Preference: |
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| Third Preference: |
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| Is your company on a GWAC? |
Yes No |
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| What percentage of your company revenue is generated from the following agencies? (Total = 100%) If the following categories are not applicable, type 0%. |
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| Which, if any, SBA certification do you hold? |
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| Other: |
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| Which of the following partner programs does your company participate in? (Select all that apply.) |
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| Please identify your organization's primary and secondary distribution partners: |
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| Please indicate which of the following social networks you belong to: (Check all that apply) |
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| What is the total value of Hardware, Software, and Services that you will purchase this year from distribution, manufacturers, other Solution Providers, or any other source as elements to the solutions you will deliver to your clients? |
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| Please list 3 vendors you would like to see that were not included in the above list: |
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