Data Recovery Partner Application - SalvageData - Partners

For more information about SalvageData’s partner program, please fill out our partners application form below and a member of our Partners Account Support Team will contact you to answer any questions about how to get started and how your organization, staff and family can immediately start taking advantage of the program benefits and discounts.

Business Information:

Business Name:

Type of Business:

Industry:

- Please select - Internet Service Provider Application Service Provider (ASP) Commercial/Internet Online Service Telecom or Cable Company Providing Internet Access Provider of Web Hosting Services Other Internet Access Provider Investment Banking/Venture Capitalist/M&A Finance/Banking/Insurance/Real Estate Health/Medical/Legal Transportation/Travel/Hospitality Media & Publishing Broadcast Retail/Wholesale Trade Government-Local/State/Federal Education Advertising/Public Relations R&D Labs Aerospace Construction/Engineering/Architecture Manufacturing (non-computer, cable or telecom related) Data Service Provider Cable Operator (MSO and Independent) Utility Providing Communications Services Wireless Service Provider (such as PCS, Cellular, Paging) Communications Systems Integrator Other Network/Communication Service Providers Web/Software Developer Computer Manufacturers Computer/Internet Resellers/VARS/System Integrators Computer/Internet Consulting Other Computer & Communications Industry

Date of establishment:

Year:

Month:

- Please select - January February March April May June July August September October November December

Total employees:

- Please select - 1 - 10 11 - 25 26 - 100 101 - 500 501 or more

Total tech support reps:

- Please select - 1 - 10 11 - 25 26 - 100 101 - 500 501 or more

Federal Tax ID:

Service Area:

- Please select - Local (to 50 miles) Regional (to 300 miles) National International

Web URL:

Contact Information:

First Name:

Last Name:

Title:

Email Address:

Primary phone:

Alternate Phone:

Best time to call:

Morning Afternoon Evening

Fax:

Address:

Address line 2:

Country:

- Please select - United States Canada AfghanistanAlbaniaAlgeria AndorraAngolaAntigua ArgentinaArmeniaAustralia AustriaAzerbaijanBahamas BahrainBangladeshBarbados BelarusBelgiumBelize BeninBhutanBolivia Bosnia & HerzegovinaBotswana BrazilBrunei Darussalam BulgariaBurkina FasoBurundi CambodiaCameroonCape Verde Central African RepublicChad ChileChinaColombia ComorosCongoCosta Rica Cote d'IvoireCroatiaCuba CyprusCzech Republic DPR of KoreaDenmark DjiboutiDominica Dominican RepublicEast Timor EcuadorEgyptEl Salvador Equatorial GuineaEritrea EstoniaEthiopiaFiji FinlandFranceGabon GambiaGeorgiaGermany GhanaGreeceGrenada GuatemalaGuineaGuinea-Bissau GuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRepublic of KoreaRepublic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent GrenadinesSan MarinoSamoaSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanTaiwanThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUK Great BritainUzbekistanRepublic of TanzaniaUruguayVanuatuVatican CityVenezuelaViet NamYemenZambia Zimbabwe

State:

- Please select - AlabamaAlaskaArizona ArkansasCaliforniaColorado ConnecticutDelawareDistrict Of ColumbiaFlorida GeorgiaHawaiiIdaho IllinoisIndianaIowa KansasKentuckyLouisiana MaineMarylandMassachusetts MichiganMinnesotaMississippi MissouriMontanaNebraska NevadaNew Hampshirenew jersey New MexicoNew York North CarolinaNorth Dakota OhioOklahomaOregon PennsylvaniaRhode Island South CarolinaSouth Dakota TennesseeTexasUtah VermontVirginia WashingtonWest Virginia WisconsinWyoming

- Please select - Alberta British Columbia Manitoba New Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Quebec Saskatchewan Yukon

City:

Zip:

Aditional details:

How have you handled your own or your customers' data recovery needs in the past?

Details of Product(s) & Service(s) you currently offer:

The statements provided in this application are accurate to the best of my knowledge. I understand and agree to the following: Completion and submission of this application does not constitute acceptance by SalvageData of the undersigned as a Reseller. SalvageData reserves the right at its sole discretion to deny authorization for any reason. All applications, approvals, must be complete before you may advertise or represent this location as a SalvageData Reseller. Note that no binding agreement is formed until Company has finally approved this location as a Reseller. SalvageData’s approval shall only be indicated by its notification to you of acceptance.

I agree with the terms

How did you find us:

- Please select option - GoogleMSNYahoo Other searchMedia - Print Media - TelevisionOnline Yellow Pages Print Yellow PagesReturn Customer Word of MouthTLMC1TLMC2 TLMC3TLMC4 Other