MediumLifeSize® - A division of Logitech

Partner Application

Expand and accelerate your revenues and profits with LifeSize's Channel Partner Program!

Thank you for your interest in selling LifeSize high definition solutions. We are pleased to invite you to join our Partner Program and partner community. Please print and review the LifeSize Channel Partner Program Brochure, Program Guide and Indirect Partner Agreement. Please also complete the entire form below and note that all fields are required. You'll be asked to accept all of the terms and conditions contained within the Indirect Partner Agreement prior to submitting the form. Upon successfully completing the form, you will receive a confirmation email from LifeSize for your records.

This form must be completed by an owner, officer or other individual authorized to execute this contract.

 

*All fields are required.
 

Primary Contact

First Name: Last Name:
Title: Website:
Phone: Mobile:
Email:
Company: Job Function:

Company Headquarters Address

Address:
City: State/Province:
ZIP/Postal Code: Country:

Key Management Contacts

Head of Sales:
Head of Technical Support:
Head of Marketing:

About Your Staff

Number of Employees:
Number of Sales Personnel:
Number of Field Technicians:

About Your Business

Do you have a demonstration facility? Yes
No
Annual Revenue:
Average company size of your customers?
Which video vendors are you currently authorized to sell? Cisco/Tandberg
Polycom
Radvision
Sony
Vidyo
Other
Which technology vendors are you currently certified to sell? Cisco
Avaya
HP
Shoretel
IBM
Juniper
Microsoft - Silver Lync
Microsoft - Silver OCS
Microsoft - GOLD Lync
Microsoft - GOLD OCS
Microsoft - Vmware gold
Other
What is your key industry or vertical market focus?

Select 1-2 only




Additional Comments:

Agreement

By checking this box, you are confirming you have reviewed the LifeSize Channel Partner Program Brochure, Program Guide and agree to the terms and conditions contained within the Indirect Partner Agreement. You also are confirming you already purchased, or plan to purchase within fifteen (15) days, a LifeSize demonstration system from the LifeSize Express, Team or Room product series.
Yes

*All fields are required