Partners

Partner Registration Form

If you’re interested in learning more about how the AgendiZe Business Partner program can add value to your product portfolio or business, please complete the following inquiry form so that we can better understand your needs. Or, you can contact us by e-mail at businessdevelopment@agendize.com.

Important note: All information disclosed in this document will be kept strictly confidential.


1. Company Information

Company Name:
Primary Address (1):
Primary Address (2):
City:
State:
Zip/Postal Code:
Country:
Telephone:
Email:
Web URL


2. Primary Contact

Name:
Title:
Telephone:
Email:


3. Please provide a quick description of your company and product offering


4. What is the primary focus of your business ?

Platform Vendor Software Vendor SEO/SEM Compagnies
Advertising Agencies Video Publisher Other:


5. What kind of solutions and/or services are you providing ?


6. What markets do you service and which territories do you cover ?


7. What is the size of your company (number of employees) ?

less than 20 20-100 100-1.000 1.000+


8. How do you envision your partnership with AgendiZe ?


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