VAR Application Form VAR Application About this application: PACOM Systems designs, develops and manufactures integrated and networked security solutions for a range of single and multi-site applications. PACOM distributes its solutions worldwide through carefully selected Value Added Resellers (VARs). As part of the qualification process, we require all potential VARs to submit this form. Please note that this is not a contract, and that there is no guarantee that your company will or will not be selected - we merely evaluate the potential of a partnership between our companies. Also please rest assured that all information is held in strict confidence. Fields tagged with a red asterisk ( * ) are required. Application date * Submitters Name * PACOM Contact Person (if known) Primary reason for wanting to become a PACOM VAR * Sales, service and/or maintenance of an existing PACOM end user Long-term partnership Other Other Company Information: Business/Organization legal name * Web Site CEO/President Name * Primary contact name * Primary contact e-mail * Position * Headquarters street address * Address line 2 City * County/State * Zip code * Country * Phone number * Main areas of interest Integrated Systems Alarm Monitoring Intrusion Alarm Access Control Managed Services Other Main areas of interest other Business Overview: Corporate profile * Drop a file here or click to upload Choose File Maximum file size: 20MB Please provide us with an overview of your organization. Max File Size 20MB. Supported file types are BMP, JPG, JPEG, TIFF, DOC, DOCX, PDF, PPT, PPTX, XLS, XLSX, ZIP Other attachments Drop a file here or click to upload Choose File Maximum file size: 20MB Please supply any other information that you believe may assist with your application. Max File Size 20MB. Supported file types are BMP, JPG, JPEG, TIFF, DOC, DOCX, PDF, PPT, PPTX, XLS, XLSX, ZIP Company Type * Public Private List all office locations Total number of employees * Number of sales staff: * Number of technical staff: * Total sales last year * Total (security) product sales last year * Vertical Markets* Not a Focus Minor Focus Strong Focus Retail Not a Focus Minor Focus Strong Focus Healthcare Not a Focus Minor Focus Strong Focus Education Not a Focus Minor Focus Strong Focus Commercial Not a Focus Minor Focus Strong Focus Manufacturing Not a Focus Minor Focus Strong Focus Government Not a Focus Minor Focus Strong Focus Transportation Not a Focus Minor Focus Strong Focus Utilities & Telecommunications Not a Focus Minor Focus Strong Focus Banking & Financial Not a Focus Minor Focus Strong Focus Managed Services Not a Focus Minor Focus Strong Focus Geographical Territory Focus * Local Statewide Multi-state region National International Would your organization be willing to participate and invest in a PACOM sales conference or user group in your region? * Yes No Please provide us with an insight into your organization"s experience and expertise with other security products. Select the areas in which you have experience and also provide the details of the specific products. Security Management Systems Intrusion Alarm Access Control CCTV reCAPTCHA Email If you are human, leave this field blank. Submit
