Connexall VAR Program - Initial Inquiry Form

1. Company Name:

2. Company Website:

3. Headquarters Location:

4. Years in Business:

5. Primary Industries Served:

6. Geographic Regions Covered:

7. Contact Person:

8. Position/Title:

9. Email Address:

10. Phone Number:

11. Briefly describe your company's primary business model:

12. How do you typically engage with clients:

13. Describe your target market(s) or customer segment(s):

14. Do you have existing clients in the healthcare sector?
YesNo

15. Describe your sales and marketing capabilities:

16. How do you plan to promote and sell Connexall's solutions:

17. Do you have in-house technical expertise or a dedicated technical team?
YesNo

18. Describe your technical capabilities or areas of expertise relevant to Connexall's solutions:

19. What are your expectations from a partnership with Connexall?

20. How do you envision collaborating with Connexall to drive mutual success?

21. Please provide any additional information you believe is relevant to your application:

Connexall VAR Program – Initial Inquiry Form