Milestone Reseller Application

Fill in the details below to become a Milestone reseller and gain the benefits of the Milestone Channel Partner program and the opportunity to sell XProtect® software.

Company Details

Company name*
Please enter your company name.
Company reg/tax no.*
Please enter your company reg/tax number.
Address*
Please enter your address.
Zip/postal code*
Please enter your zip/postal code.
City/Town*
Please enter your city.
Country*
Please select your country.
Telephone*
Please enter your telephone number.
Fax
Please enter your fax number.
Fields marked with a * are mandatory.

Contact Details

First name*
Please enter the main contact first name.
Last name*
Please enter the main contact last name.
Email*
Please enter an valid email address.
CEO First name*
Please enter the CEO first name.
CEO Last name*
Please enter the CEO last name.
CEO Email*
Please enter the CEO email address.
Sales VP first name*
Please enter the Sales VP first name.
Sales VP last name*
Please enter the Sales VP last name.
Sales VP Email*
Please enter the Sales VP email address.
Technical Contact first name*
Please enter the Technical Contact first name.
Technical Contact last name*
Please enter the Technical Contact last name.
Technical Contact Email*
Please enter the Technical Contact email address.
All fields are mandatory.

Company Skills

General description of core business*
Please enter a general description of core business.
Year founded*
Please enter the Year founded.
Approximate annual revenue*
Enter approximate annual revenue (whole number) and select your currency.
What % is service revenue*
Please enter the service revenue percentage.
What % is software revenue*
Please enter the software revenue percentage.
Number of camera solutions installed past 12 months*
Please enter the number of camera solutions installed.
Geographical coverage*
Please enter the Geographical coverage.
Total number of employees*
Please enter the total number of employees.
Number of employees working with security solution*
Please enter the number of employees working with security solution.
Customer segments targeted*
Press ctrl to select more than one customer segments targeted.
Preferred Distributor
Please enter a preferred distributor.
What security services does your company offer?*
Please enter your security services that your company offers.
Description of company's IT/Networking skills*
Please enter a description of company's IT/Networking skills.
Description of company's CCTV skills*
Please enter a description of company's CCTV skills.
Company website*
Please enter your company website.
How did you hear of Milestone?*
Please enter how you have heard about Milestone.
Fields marked with a * are mandatory.