Partner Application


General Information
Legal Business Name:
Industry:
Years in Business:
Annual Revenue (USD):
Number of Employees:
Corporate Web Site:
D&B #:
Corporate ID # (EIN in US):

Company Headquarters
Street Address:
City:
State:
Postal Code:
Country:

Sales and Marketing
Number of Sales Reps:
Value-Add / Specialization:
Your Customers Include: Telco (ILEC, CLEC, RLEC, etc.)
ISP / WISP
Government
Hotels, Convention Centers
Airports, Transit Hubs
MDU / MTU
Academic Campus
Other Verticals Served:
Geographics Served:
Your Product Line Includes: Radios (APs, PTP, PTMP, etc.)
Towers (masts, large scale antennas, etc.)
Switches (L2 and L3 wired gear)
Gateways (routers, billing systems, OSS, etc.)

Support and Operations
Does your company take the 1st call (support / help desk): Yes No
Does your company offer network design services: Yes No
Does your company offer network installation services: Yes No
Does your company offer network operations training: Yes No
Does your company operate networks for your customers: Yes No

Primary Contact
First Name:
Last Name:
Email Address:
Office Phone Number:
Mobile Phone Number:
Fax Phone Number:
Instant Messaging ID:

How did you hear
about RG Nets, Inc.?

Additional Information:

Is there any other information that you would like to share with us about your company or how the RG Nets offerings would fit into your business that you think we should know about?