DragonSoft Partner Application Form

A. Contact Person
* Your Name:
Job Title:
* E-mail Address:
* Phone:

B. Company information
* Company Name:
URL:
Country:
City:
Address:

1. Which of the following categories best describes your business? (Multi choice)
Developer
Reseller
Security Consulting Firm
Network Access Provider
System Integrator
Security solutions provider
Other
2. Which of the target customers do you sell for? (Multi choice)
Government
Financial
Healthcare
Telecommunications
Information Services
Manufacture
Education
Other
3. How do you resell your company's products? (Multi choice)
Direct Sales
Distributors/Subsidiaries
OEMs
VARs
Dealers
Telemarketing
Service Provider Only
Other
4. Does your company currently provide any information security solution
   (ex. Firewall, Anti-virus, and IDS/IDP)?
Yes
NO

5.If yes, does your company provide any Network Vulnerability Assessment/ Management solution?
Yes
NO

6. Are you interested in building up a potential business relationship with DragonSoft Security
   Associates?
Yes
NO

7. If the answer is yes, which business priority would you like to cooperate with us?
Sales partner
Vulnerability Database licensing
Software OEM
Alert Service
Technology alliance
Other
Additional Comments / Questions:


  DragonSoft Security Associates, Inc.
  18552 MacArthur Blvd. #105, Irvine, CA 92657. USA.
  Asia Headquarters:
  5F, No. 30, Lane 607, Sec. 1, Guangfu Rd., Hsinchu, Taiwan. R.O.C   Tel: +886-3-563-0989 Fax: +886-3-579-7758
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