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Become a Partner

HighJump Software Partnership Application

Below is a short survey that will act as the first step in applying to be a HighJump Software partner. Until this information is gathered and processed, your company cannot be evaluated for partnership consideration. If you would like your application processed in a timely manner, please make sure that all information given is complete, accurate and as detailed as possible. Properly completed applications will be given priority over those with incomplete or inaccurate information.

Part I: Company Contact Information

Name of Company	*
Street Address
Street Address (line 2)
Main Phone	*
Main Fax
City		State/Province
Country		Zip/Postal Code
Website

Part II: Applicant Contact Information

Contact First Name	*	Last Name	*
Title or Job Function
Contact Address
Contact Address (line 2)
Contact Phone	*
Contact Fax
Email	*
Number of Years with Current Company?

Part III: Company Demographics

Company Description
SIC Code		Year Founded
Number of Locations/Facilities
Ownership Status
Total Number of Employees
Number of Customers
Average Customer Size	(in $US)
Annual Revenue	(in $US)
Key Accounts
Key Vertical Markets (if any)
Key U.S. Geographic Markets (if any)
Key International Markets (if any)

Part IV: Product and/or Service Information

Please check all items below that best describe your company in terms of product and/or service focus.

Products & Services		Application Areas
	Software Provider		Enterprise Resource Planning (ERP)
	Hardware Provider		Enterprise Application Integration (EAI)
	Supply Chain Consultant		Supply Chain Management (SCM)
	General Business Consultant		Supply Chain Execution (SCE)
	Value-Added Reseller		Supply Chain Planning
	Systems Integrator		Customer Relationship Management (CRM)
	Other (Describe)		Transportation Management Systems (TMS)
			Accounting & Financial Systems
			Human Resource Systems
			Electronic Commerce Systems
			Data Collection Systems

Please check all items below that best describe your company in terms of product and/or service target market.

Target Markets		Target Industries
Company Size			Automotive
	Small (<$200 million)		Financial Services
	Mid-mkt($200 million - $1 billion)		Food, Beverage and Grocery
	Large(>$1 billion)		Government
	Other (Specify)		Health Care and Pharmaceutical
	Other (Specify)		Manufacturing
Geographic Area			Publishing and Media
	Local area (Specify)		Retail and Consumer Goods
	Local area (Specify)		Technology, Software and Hardware
	Regional area (Specify)		Wholesale, Distribution and 3PL
	National		Other (Specify)
	Global		Other (Specify)

Part V: Value Proposition

How would your partnership with HighJump Software add value for your company's clients or customers? (* Required)

How would your partnership with HighJump Software add value for HighJump Software's customers? (* Required)

(after submitting it may take a moment for our system to process your request)
(* means field is Required)

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