Ingram Micro Partner Application for Managed & Cloud Hosting Solutions

Required fields are marked with a red star (*).
Contact Information

Are you a current Ingram Micro Partner?
Which services are you interested in reselling? (select multiple if applicable)?
Company Name*
 Ingram Micro Customer Number*
Mailing Address

Country*
Address*
City*
 State/Territory*
Postal Code*
Primary Contact

Last Name*
 First Name*
Title*
 Email Address*
Phone Number*
 Fax Number*
Important Information
By filling in this area, you will help us determine how to classify you in our partner database. Please fill out these questions to the best of your ability.

Company Size
Size of Current Customer Base
Past Partnerships with Hosting Companies
How Many Customers Have You Placed With a Hosting Company?
Please List Your 5 Largest Customers
What is the Primary Categorical Classification of Your Company?
What is the Size of the Market Your Company is Targeting?
Please List the Industries Your Company is Targeting
Please List Your Primary Services Offered
For more information, visit www.ingrammicro.com/seismic or call the Ingram Micro Services team at (800) 705-7057, option 5. For questions about services, e-mail salesservices@ingrammicro.com.
Rackspace US, Inc. may use the information you provide on this form to send to you messages regarding products, services, and promotional offers that may be of interest to you. Information collected from entrants is subject to Rackspace US Inc.'s Privacy Statement.