Contact Us

Partner Application Form

Thank you for your interest in Reseller or agent partner relations. Please complete the following application and click Enter. All asterisk(*) are required fields. We look forward to hearing from you.

Company Overview

Company Name *
Company Website
Address *
City *
State *
Zip *
Year Company Established
Is the Company Public or Private Public
Private


Primary Contact

First Name *
Last Name *
Title *
Email *
Phone * ext.
Fax


Company Information

Are you an existing Internap customer? Yes
No
What type of relationship are you seeking with Internap? *
What Internap products are you interested in reselling? Streaming CDN/CDS
Advertising Services
Content Monetization
Performance IP Flow Control Platform (FCP)
What are the core services of your business?
(Select all that apply)		 Value Added Reseller
Application Service Provider
         Managed Service Provider
         Storage Service Provider
         Collocation Provider
         Web Hosting Provider
         Other, please specify:
Size and structure of your organization
Annual Revenue
Number of Employees
Number of offices worldwide
Number of sales people
Which best describes your business geographic target range? Local
National
Regional
International
How did you hear of Internap’s Channel Partner Program? *
If other, please list here
What value added services do you provide?

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