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Partner Request Form
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Which type of partnership are you interested in?
* Partnership Type Referral Reseller Strategic Alliance
Tell us about yourself:
* Company Name
* Company Street
* Company City
* Website
* Contact Name
* Title
* Email Address
* Phone Number
* Province/State
* Country
Tell us about your company
* Primary Industry
* Number of Employees
* Size of Sales Force - Inside - Outside
Number of Years in Business
Region(s) of operation (select all that apply):
USA Canada Mexico UK EU Gulf States South America
Australia / New Zealand Other
How many customers do you have worldwide?
Less than 100 101-500 501-1000 1001-5000 5001-10,000
Average customer size (# of employees):
Less than 100 101-500 501-1000 1001-5000 5001-10,000 10,001-25,000
What are your annual revenues?
Less than $1 million $1 million - $25 million $25 million - $50 million
$50 million - $100 million $100 million - $500 million $500 million - $1 billion
Above $1 billion I cannot provide this information
Industries addressed:
Healthcare Financial Services Professional Services Other - specify
No specific target industry
Identify the different products in your portfolio (select all that apply):
HRIS Software Payroll Software Recruiting Software Onboarding Software
Salary Content Competency Content Learning Management Content
EPM Consulting Career Planning Workforce Planning Metrics
Other
What kind of services does your company provide?
How would Halogen Software complement your portfolio?

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