JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Become a Google Cloud Authorized Indirect Reseller through Ingram Micro Canada
(This form is currently for resellers in Canada only.)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select Authorization(s) to apply for:
*
Chrome for Work/Enterprise
Chrome for Education
G Suite
Google Hangouts Meet Hardware
All Of the Above
Required
Full Name (Contact: First Name Last Name)
*
Your answer
Email
*
Your answer
Phone Number (###-###-####)
*
Your answer
Job Title
*
Your answer
Company Name
*
Your answer
Ingram Micro Account Number
Your answer
Full Address (Address, City, State, Zip Code)
*
Your answer
Additional Information (Please include if you have been previously authorized with Google Direct or distributor and any other relevant information related to your request)
Your answer
Please click
http://bit.ly/IngramDARs
to view the terms and conditions. By clicking the "Submit" button I acknowledge that I have read and accept the terms of the above agreement and I agree to and will be bound by the terms and conditions. I represent and warrant that I am an authorized representative with signing authority on behalf of my company.
*
I accept the Terms & Conditions
Required
If you were referred to this form by an Ingram Micro Associate, please identify them by name.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ingram Micro.
Report Abuse
Forms
