Malwarebytes : Apply to be a reseller with Malwarebytes

Thank you for applying to be a Malwarebytes Reseller. Please complete the following form with as much detail as possible to expedite processing your application.

Your Info

Salutation:

First Name
Last Name
Job Title: Phone Number: Email: Do not use public email addresses (gmail, hotmail, etc.)

Company Info

Company Name: Website: Country:

State:

Mailing Address: City: Zip/Postal Code: Phone: Fax:

Market Targeting

What is your target market? (Select all that apply):
Fortune 1000 Companies (Enterprise > 10,000 Users):

Large Business (> 1,000 Users):

Medium Business (100-1000 Users):

Small Business (5-100 Users):

Home Users (1-5 Users):

Government:

Education:

Non Profit:

Other:

Which regions do you sell into?:

How were you referred to the Malwarebytes' Partner Program?:

Other:

Company Profile

What is your annual revenue?:

What is your Company Tax ID or VAT Number?: What year was your business established?: How many total sales people do you have?: Which of the following best describes your business? (Select all that apply):

Describe any other business types not listed above: Do you have an online store?:

Yes No

Which security vendors/products do you currently sell? (Select all that apply):

Other security vendors/products:

Malwarebytes

Reseller Application

Your Info

Company Info

Market Targeting

Company Profile

Products

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