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PHONE+ and Channel Partners Conference & Expo Advisory Board Application


* Asterisk = Required     
*First Name
*Last Name
*Company Name
*Title
*Street Address
*City
*State
*Zip
*Phone
*Company Website
*Email
* How many years has your company been in the communications business?

* Please list any previous or current involvement your company has with an
industry advisory board (1000 character Max):

* Please list any associations of which your company is a member (1000 character Max):

* What customer segment do you target (1000 character Max)?

* How many employees do you have?

* How many offices do you have?

* What geographic area do you operate in (1000 character Max)?

Are you a:
(Check all that apply)
Master Agent — an indirect sales organization that aggregates subagents to fulfill large-volume carrier contracts and manages back-office functions on behalf of the subagent and carrier.
Independent — an agent that has direct agreements with a carrier but is not considered a master agent either due to volume or because it does not employ subagents.
Subagent — an agent that works through a master agency to sell carrier services.
Carrier/Service Provider — a company that has its own facilities through which it provides network services or enhanced services.
Dealer/Interconnect — an indirect sales organization that provides sales, installation and maintenance of voice gear.
VAR/Systems Integrator — an indirect sales organization that provides value-added services, such as management, applications, programming, etc., along with vendor gear.
VAD – a distributor of communications products through indirect sales partners
Reseller — a rebrander/rebiller of carrier services or enhanced services.
Association — a membership organization representing communications industry concerns.
Attorney/Consultant – an individual or firm that advises channel partners or communications vendors regarding their businesses.

Personal Information

* Number of years in industry

* How many years have you been at your present company?

* How many of the Channel Partners Conference & Expo events have you attended?

* What was the most recent Channel Partners Expo event you attended (1000 character Max)?

* Have you attended any sessions?
Yes No

* Have you been a speaker at the event?
Yes No

* How long have you been a reader of PHONE+?

* Do you subscribe to the PHONE+ newsletter?
Yes No

* Have you visited the PHONE+ Web site?
Yes No

* Why should you be selected to be part of the advisory board (1000 character Max)?

* What are your reasons for applying (1000 character Max)?

* Please list three suggestions that you have for growing PHONE+ magazine and the Channel Partners Conference & Expo (1000 character Max):

Please provide a testimonial about your experience at the Channel Partner Conference and Expo. Answering the question implies consent for Virgo to use in its marketing materials (1000 character Max).

All information disclosed within this application will be kept confidential to non-Virgo employees.


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