Chelsio Reseller Program (CRP) Application

Please provide the following information to become a CRP member. A Chelsio representative will contact you shortly after your application is submitted. (Note: * denotes a required field.)

Company Information
Company Name *
URL *
Address *
City *
State/Province (if applicable): 
Zip/Postal Code *
Country *
Year Company Founded *
Principal Contact *
Phone *
E-mail *
Principal Sales Person *
Telephone *
E-mail *
Principal Technical Person *
Telephone *
E-mail *

Number of Employees:
In Sales
In Support

Business & Marketing Profile:
Number of Locations
Gross Annual Sales
Which of the following best describes your business? Retail Systems Integrator Mail Order Consultant VAR ISP
Online reseller Other
Explain Other
Which of the following industries best describes your major customer focus? Financial Energy Academia Media/Video Content
Storage Networking End User OEM Other
Explain Other
Are you currently selling any other 10G Ethernet adapter cards? Yes No
If Yes, please list
Are you currently selling any FibreChannel cards? Yes No
If Yes, please list brands
Are you currently selling any InfiniBand cards? Yes No
If Yes, please list brands
Please list the distributors you normally work with
Do you normally carry inventory? Yes No
Do you do system integration? Yes No
Have you ever sold silicon before? Yes No
What other hardware products do you sell today?
What other software products do you sell today?
Which vertical markets do you specialize in?