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Firewalla Global Reseller Application
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* Indicates required question
Your Name (First, Last)
*
Your answer
Email
*
Your answer
Title
*
Your answer
Company Name
*
Your answer
Company Website
*
Your answer
Main Market (Country or Region)
*
Your answer
Business Type
*
Reseller (VAR)
Distributor
Retailer with brick and mortar store
Managed Service Provider
Internet Service Provider
System Integrator
Other:
Required
Who do you sell to?
*
Direct to consumers
Direct to business customers
Other resellers or channel partners serving consumers
Other resellers or channel partners serving business customers
Required
Brief description about your business
*
Your answer
Year Founded
*
Your answer
Do you want to provide managed security service to your clients using Firewalla?
Yes
No, I just want to sell Firewalla units
Maybe
Clear selection
Number of Employees
Choose
1-10
11-50
51-100
101-200
201-500
More than 500
Gross Annual Sales
Choose
Less than 200K USD
200K-1M USD
1-10M USD
10-100M USD
More than 100M USD
If you are a VAR or service provider, how big is your current client base?
Choose
Less than 100
100-500
500-1000
1000-5000
More than 5000
Are you a current user of Firewalla?
*
Yes
No
Which Firewalla product are you interested in reselling?
*
Gold
Purple or Purple SE
Gold Plus
Gold SE
Other:
Required
Do you plan on selling Firewalla online?
*
Yes
No
Other:
If you sell online, enter the URL of your online store(s)
Your answer
If you resell Firewalla, do you have the ability to provide first level technical support?
*
Yes
No
Other:
Estimated monthly purchase volume (units)
*
Choose
Less than 20
20-100
100-500
500-1000
More than 1000
Additional comments
Your answer
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