For consideration of membership in the Meraki Channel Partner Program, please complete the following form and submit per the instructions at the end.
Company Name
Company URL
Contact First Name
Contact Last Name
Contact Title / Job Function
Contact Email
Address 1
Address 2 (optional)
City
State or Province
Country
Zip Code
Telephone Number
Fax Number
D-U-N-S Number
Please provide any additional detail on your company as needed
Please specify where you heard about Meraki Please Select One Business Associate Customer News Article Trade Show Trade Publication Press Release Blog or Chat Room Direct Mail Postcard Online Banner Ad Meraki Website Other
Primary Business Contact Name: Email: Phone:
Primary Day-To-Day Sales Contact (optional) Name: Email: Phone:
Primary Day-To-Day Technical Contact (optional) Name: Email: Phone:
How many years has your company been in business? years
How many office locations does your company have? locations
What were your company's total revenues last year? Please Select One Less than $500,000 $500,000 - $999,999 $1,000,000 - $2,999,999 $3,000,000 - $9,999,999 $10,000,000 - $49,999,999 $50,000,000 - $99,999,999 Greater than $100,000,000
What percentage of last year's revenue is attributed to Products and to Services? % Products % Services
Please specify the number of employees dedicated to the following primary job categories. Executive/Managerial Sales Technical/Pre-Sales Marketing Accounting/Finance/Administrative Total number of employees company-wide
Please list the specific certifications that your company/personnel currently have in place (i.e. CCNP, MCSE, CNE, etc.)
Please specify the business (or businesses) that your company performs per the list below (check all that apply): Network Operator (carrier) Regional Service Provider / ISP / WISP Reseller System Integrator / Networking Application Developer I.T. Consultant Security Consulting (surveillance, access, etc...) Contracting (construction, tenant improvement, etc...) Contracting (cabling, I.T. infrastructure, project specification divisions 25/26/27/28,\ etc...) Other
Please list the primary products that your company sells (up to five):
Vendor Name Product Line(s) Vendor Name Product Line(s) Vendor Name Product Line(s) Vendor Name Product Line(s) Vendor Name Product Line(s)
Among the product lines listed above, rank the top two that contributed to your company's total revenues last year:
Please list the wireless product(s) that your company has experience with (up to five):
Please list the primary services that your company offers:
Among the services listed above, rank the top two that contributed to your company's total revenues last year:
What wireless networking services does your company provide to its customers?
What post-sales technical support capabilities does your company provide?
Please explain why you want to add Meraki to your current portfolio of products
Please list the specific marketing activities that your company regularly performs (i.e. direct mailers, email campaigns, specific industry events, newspaper advertising, web-based advertising, professional societies, etc.)
What are your company's primary sales methods? (check all that apply) Inside sales Outside sales Online webstore Retail Catalogue Bid / spec Other
What industries does your company focus on today with your current portfolio of products? (check all that apply) Hospitality Education Utilities Telecom / ISP Oil / Gas State / Local Government / Municipalities Federal Government Tranportation (airports, marinas, etc...) Healthcare Construction Residential / Consumer Enterprise / Commercial Sensors / Metering Small / Medium Businesses Other
Among the industries listed above, rank the top three that contributed to your company's total revenues last year (please represent as a % of total) Largest Contributor Second Largest Contributor Third Largest Contributor
How many new customer did your company acquire last quarter? customers
What percentage of your quarterly revenue came from those new customers? %
What industries do you plan to target with Meraki? (check all that apply) Hospitality Education Utilities Telecom / ISP Oil / Gas State / Local Government / Municipalities Federal Government Tranportation (airports, marinas, etc...) Healthcare Construction Residential / Consumer Enterprise / Commercial Sensors / Metering Small / Medium Businesses Other
Please explain the particular industry qualifications or company-specific attributes that qualifies your company for the above specified Meraki target industries:
Based on what you know about Meraki to-date and the Meraki-specific sales opportunities you plan to pursue, how many "nodes" (indoor & outdoor) do you plan to sell over the next 12 months? nodes
Please list the primary distributor(s) that your company purchases from?
Informally, please explain why you feel that Meraki will help your company drive more business?
