EVENT INTEREST FORM

Thank you for your interest in attending IT ChannelVision. 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.

Please note this form will not register you for the upcoming IT ChannelVision event.

• Required Information
Which category best describes your business focus?

Solution Provider - Category includes VARs, Total Solution Providers, System Integrators & Managed Service Providers. Attendees from North America provide complete solutions that include hardware, software and services to multiple markets. Targets growth markets include small, mid/low, mid/high and Enterprise

System Builder - Attending System Builders as a whole represent the sale of more than 1 million units annually. Primarily sales are to the consumer/business market with the wholesale white box market a secondary market.
 
• Company Name:
• Contact Name:
• Contact Title:
• Sender E-mail:
• Telephone:
• Fax:
• Corporate Address 1:
Corporate Address 2:
• City:
• State:
• Zip/Postal Code:
• Country:
Country (If Other):
• Company URL:
 
 
• To what degree are you responsible for building the Vendor partnerships and alliances for your company:
• Do you have Profit & Loss responsibility:
• Number of Employees:
• Current Annual Revenue:
 
 
•What are your primary business challenges are you facing?:
•What can our Technology Partners do to make you sucessful?:
 
 
• What percentage of your revenue comes from the following?
If the following solutions are not applicable, type 0%. Values must add up to 100%:
Solution Sales:
Software Sales:
Hardware Sales:
Total:
 
 
•What percentage of your annual revenue comes from Hardware sales?
If the following solutions 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 comes from services?
If the following categories are not applicable, type 0%. Values must add up to 100%
Consulting Services: Integration Services:
Managed Services: Recurring Services:
Software As A Service: Hardware As A Service:
General Professional Services: Other:
  Total:
If Other, please define:
 
 
• What is your average number of units of PC sales Monthly?
Complete Systems: Notebooks:
Servers: Mobile Devices:
Other:  
If Other, please define:
 
 
• What is your average number of units of PC sales Annually?
Complete Systems: Notebooks:
Servers: Mobile Devices:
Other:  
If Other, please define:
 
 
Do you build in-house?:
 
 
• 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%
Federal Government: State/Local Government:
Manufacturing: Healthcare:
Education: Legal:
SMB: Financial Services:
Global: Consumer:
Consulting: Retail:
Telecom: 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%
SOHO:
(<10 employees) 		Small:
(10-99 employees)
Midsize:
(100-1000 employees) 		Large:
(>1000 employees)
Total:  
 
 
What are your primary interests in attending this Event?

(Select all that apply)
 
 
Which of the following products or services do you CURRENTLY or PLAN to influence, recommend, or sell? (select all that apply)

Internet/Web

Application/Web Services Development Content Delivery
Content Management e-Business Solutions
E-Mail Server/Client Hosting ( ASP, SSP, MSP, SP)
Internet Access/IP Services Internet Devices ( incl. Remote)
Internet Training ISP
LAN/Internet Connectivity Web Browsers
Web Server Software Wireless
Web Site Development (incl. Design) Web Development Tools ( XML, JAVA, etc. )
Other  
If Other, please define:

Storage

ATL (Automated Tape Library)/Jukeboxes Back-up Systems
Disk Drives/CD/DVD/Optical Network Attached Storage (NAS)
RAID/Hard Disk Arrays Storage Area Networks (SAN)
Storage Management Storage Over IP
Storage Services Storage Solutions
Other  
If Other, please define:

Networking/Communications

Bandwidth Management Connectivity Services (Broadband, DSL, T1-3)
Data Services Data, Voice and Video Networking
Fast/Gigabyte Ethernet Integration of Voice & Data Networks (CTI)
LAN/WAN Design Mobile Solutions/Devices
Modems Network Solutions
Optical Networking Remote Access
Remote Data Capture and Tracking Routers/Switches (LAN/WAN)
TCP/IP VOIP
WANs Wireless LANs/Point to Point
Other  
If Other, please define:
Accounting/Financial Application Development Tools/Languages
Application Servers BPO
Compliance Software CRM
Data Warehousing/Data Mining Database Management (DBMS)
Databases Document Management/Imaging
Enterprise Application Integration ERP/Enterprise Mgmt Software
Help Desk Multimedia
Network/Systems Management POS/Retail/Inventory Management
Server/Suites Supply Chain Mgmt
Other Business Intelligence
If Other, please define:

Security Services

Anti-Virus Biometrics
Encryption Firewall
Identity Management Security Solutions
Threat Monitoring & Response Wireless/Mobile
VPN Other
If Other, please define:

Peripherals/Components

Data Collection Devices Digital Video/Audio products
KVM Switches ( Cat 5, Fiber, IP etc.) Memory/Microprocessors/Chip Sets
Monitors/Displays/Flat Panels Motherboards
PDAs, Hand Held, Mobile POS (Point of Sale)/Barcoding
Printers/Scanners Projectors/Presentations
UPS/Power Protection Digital Signage
Other  
If Other, please define:

Operating Systems

Linux (Red Hat, Caldera, etc.) Mac OS (Apple)
NetWare (Novell) UNIX (IBM AIX, Sun Solaris, HP UX etc.)
Windows DotNet (Microsoft) Windows NT/ 2000/ 98 (Microsoft)
Windows Vista (Microsoft) Windows XP (Microsoft)
Other  
If Other, please define:

Systems

Custom Systems - Desktops, Servers, Notebooks (White Box) Desktops/Advanced Workstations
Entry Level Servers (1-2 processors) Midrange Servers (3+ processors)
Notebooks/Tablets Rack Systems/Blade Servers
Other  
If Other, please define:
 
 
Which of the below categories best represents your core business focus?

(Please select three. Hold down the control or option key for multiple selections)
 
 
Regions Served:

(Select all that apply. Hold down the control or option key for multiple selections)
 
 
Please rank each of the following vendors based on interest of forming an alliance/partnership with them:
  
3Com HighMediumLow
Adobe HighMediumLow
Alcatel HighMediumLow
AMD HighMediumLow
American Power Conversion HighMediumLow
Arrow Electronics HighMediumLow
AT&T HighMediumLow
Avaya HighMediumLow
Avocent/Landesk HighMediumLow
Bell Microsystems HighMediumLow
BEA HighMediumLow
BMC HighMediumLow
Business Objects HighMediumLow
Cisco HighMediumLow
Citrix HighMediumLow
Computer Associates HighMediumLow
D&H Distributing HighMediumLow
Dell HighMediumLow
D-Link HighMediumLow
EMC HighMediumLow
Fujitsu HighMediumLow
HP HighMediumLow
IBM HighMediumLow
Ingram Micro HighMediumLow
Intel HighMediumLow
Lenovo HighMediumLow
LG Electronics HighMediumLow
Linksys HighMediumLow
McAfee HighMediumLow
Microsoft HighMediumLow
NEC HighMediumLow
Netgear HighMediumLow
Nortel HighMediumLow
Novell HighMediumLow
nVidia HighMediumLow
Oki Data HighMediumLow
Oracle HighMediumLow
Palm HighMediumLow
Panasonic HighMediumLow
Progress/Sonic HighMediumLow
Quantum HighMediumLow
Ricoh HighMediumLow
Samsung HighMediumLow
SAP HighMediumLow
Seagate/Maxtor HighMediumLow
Siemens Communications HighMediumLow
Sony HighMediumLow
Sprint HighMediumLow
Sun Microsystems HighMediumLow
Symantec HighMediumLow
Synnex HighMediumLow
Tech Data HighMediumLow
Toshiba HighMediumLow
Trend Micro HighMediumLow
Verizon HighMediumLow
Western Digital HighMediumLow
XeroxHighMediumLow
HighMediumLow
 
 
• How did you learn about this event
 
 
Promo Code:
 
 
 
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