Concur Partner Registration Form

*First Name:

*Last Name:

*Company:

*Title:

*Email:

Phone:

Address1:

Address2:

City:

Postal Code:

Web Address:

Country:

Your Company Description:

Year Established:

Private or Publicly Held:

Total # Customers Worldwide:

Total # Employees Worldwide:


Vertical Specialization:

Manufacturing:

Retail:

Federal Government:

Healthcare:

Public Sector:

Financial Services:

Higher Education:

Telecommunications:

Utilities:


Your key differentiators and business specialty:

Companies with whom you have strategic alliances:

Primary competitors:

Please list a key contact:


Global Alliance & Network Alliance Types:

Business/Systems Integrator/Consultant:


ERP Applications:

Technology/Platform Provider:

Business Services/Hosting:

Reseller (you resell Concur):

Reseller (Concur resells your solution):

Referral Partner:

Meeting Management:

Travel Agencies:

Travel Distribution:

Travel Services:




Please describe the proposed relationship:

What global markets does your company serve?:

What size markets does your company serve?:

How did you learn about Concur?:

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