Chelsio Reseller Program

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*:

Number of Employees:

In Sales:

In Support:

Principal Contact*:

Phone*:

E-mail*:

Principal Sales Person*:

Telephone*:

E-mail*:

Principal Technical Person*:

Telephone*:

E-mail*:

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	Govt./Research	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 other products that could be synergistic with Chelsio's products (i.e. similar customers, ability to bundle, etc.)?
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?