Martin Dawes Systems Partnership Application Programme

Type of Partnership sought
Type of partnership* :

Contact information

Personal Details:

First Name* :
Last Name* :
Job Title* :
Email* :
Telephone* :
Ext. :
Fax* :
Mobile :

Company Details Company Name* :
Address 1* :
Address 2 :
Address 3 :
Postcode :
County/State/Province* :
Country* :
Website :

Company Information
Year Established* :
Revenue & Net Profit* :
No. of Employees* :
Type of Business* :
Other :
Level of Scalability :
Target Customers :

System Integrators
Target Markets: *
No. of Consultants / Agents by region :

Current Customers
Please describe what you hope to gain by forming a partnership with MDS?
Please describe the potential benefits for MDS:
What other business partnerships does your company have in place:

Additional Comments / Questions
Any Further Information & Comments :
How would you prefer to be contacted :