Partner Application

Legend
 
= Required to save application

Company Information
First Name
 
Last Name
 
Title
 
Company Name
 
Email
  @
URL
 

Corporate Headquarters
State of Incorporation
 
Address
 
 
City
 
State
 
Zip code
 
Country
 
Phone
 
Fax

Marketing Contact Information
First Name
 
Last Name
 
Title
 
Phone
 
Email
  @

Price List Contact Information
First Name
 
Last Name
 
Title
 
Phone
 
Email
  @

Signer Contact Information
First Name
 
Last Name
 
Title
 
Phone
 
Email
  @
Company Profile
How did you hear about our program?
 
Distributor
Tradeshow
FalconStor Employee
Other
Describe:
Industries covered (Check all that apply)
 
Consulting
Distribution
Education
Financial Services
State and Local Government
Federal Government
Healthcare
Hospitality
Insurance
IT Services
Legal
Manufacturing
Media
Pharmaceutical
Professional Services
Real Estate
Retail
Telecom
Transportation and Logistics
Utilities
Other (describe)
Additional information (Check all that apply)
  Hardware / Software Certifications

Novell
Microsoft
Oracle
Sun
VMware
IBM
HP
Intel
Other

Storage solutions offered

Backup/Recovery
BCDR
High Availability
NAS
SAN
Disk-based Backup
Other

Partner Application Terms & Conditions
Submission of an Application is not a guarantee of admission to the FalconStor Partner Program. FalconStor will make admission decisions in its sole discretion. Admission to the FalconStor Partner Program does not convey a right to sell or to offer for sale licenses for FalconStor products. Admitted partners may only sell or offer to sell licenses to FalconStor products after entry into a partner contract signed by FalconStor. FalconStor reserves the right to amend the terms of the Partner Program at any time or to remove a partner or change the partner's status at any time.

Information provided will be used by FalconStor solely to evaluate your application and will not be shared with any third party. By submitting the information you agree to this use. Admitted partners will automatically be added to certain FalconStor e-mail distribution lists. By submitted the information you agree to this use. You may opt out of receiving further communications by following the instructions in the e-mail you receive. FalconStor is an equal opportunity employer.
  Yes, I have read and agree to the partner application terms and conditions..

Image Verification
Enter the text above to continue: (text is case sensitive)


Cancel
NORTH AMERICA:
2 Huntington Quadrangle, 2S01
Melville, NY 11747
Sales: 866-NOW-FALC (toll free) or 631-773-5859
salesinfo@falconstor.com

 EMEA:
58 rue Pottier
78150 Le Chesnay
France
Tel: +33 820 399 866
Fax: +33 1 39 23 95 57
salesemea@falconstor.com 		ASIA PACIFIC:
20 Science Park Road
#02-04A/05, Teletech Park
Singapore Science Park II
Singapore, 117674
Tel: +886-4-2259-1868
Fax: +886-4-2259-1878
salesasia@falconstor.com
CONNECT:
Copyright © 2001-2013 FalconStor Software. All Rights Reserved.