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Milestone distributor application

Please fill in the details below to become a Milestone distributor and get the chance to sell  XProtect® software to our resellers.

Company name*
Please enter your company name.
Company VAT/tax no.*
Please enter your company VAT/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.
Contact details
First name*
Please enter your first name.
Last name*
Please enter your last name.
Email*
Please provide a valid email address from your business or organization.
CEO first name*
Please enter the CEO first name.
CEO last name*
Please enter the CEO last name.
CEO email*
Please provide a valid email address from your business or organization.
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 provide a valid email address from your business or organization.
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 provide a valid email address from your business or organization.
Company skills
General description of core business*
Please enter a general description of your core business.
Year founded*
Please enter the year founded.
Approximate annual revenue*
Please enter the approximate annual revenue without any punctuation.
What percent is service revenue?*
Please enter the service revenue percentage using only numerals (no symbols).
What percent is software revenue?*
Please enter the software revenue percentage using only numerals (no symbols).
Number of camera solutions installed in the 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 solutions*
Please enter the number of employees working with security solutions.
Customer segments targeted*
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What security services does your company offer?*
Please enter the 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 about Milestone?*
Please enter how you heard about Milestone.
All fields are mandatory.*
Notice: By supplying my contact information, I authorize Milestone Systems and its agents (”Milestone Systems”), to contact me (via email, phone and/or mail) about Milestone Systems, its products and services, including product releases and updates, seminars, events, surveys, trainings and special offers. I will have the opportunity to opt-out of future communications, and Milestone Systems may use data I have provided in accordance with the Milestone Systems online Privacy Policy.

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Your information provided above is solely used by Milestone Systems. We do not and will not sell your information to any other party. View our Privacy Policy.