Please complete this form to apply as a Acme partner. Call (xxx)xxx-xxxx if you have any questions. Thanks. Reseller Application Step 1 of 3 33% Company* Name* First Last Title* Phone*Address*The full address that will be used to mail to Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Enter Email Confirm Email Website*Must include https:// since it validates Years in Business* Business Type*Determines if you will need a 1099 at end of year. Proprietor Corp or S-Corp DistributorsWhich distributors do you purchase from (click all that apply) Ingram Micro Tech Data D & H Navarre GE Access SaaSMAX Douglas Stewart Lifeboat Other Distibution #Provide one distributor name and account # (used to verify reseller status)--or type NONE. ClassificationHow would you classify your company? (check all that apply) Retailer VAR MSP System Integrator Consultant Chain or Franchise OEM Developer Training Mail Order E-Commerce Distributor VerticalsSelect vertical markets you concentrate and specialize in (check all that apply)GovernmentEducationFortune 500AccountingAdvertisingAviationAutomotiveChemicalConstructionManaged ServicesDevelopmentEntertainmentFood ServicesHigh TechMedical Health CareInsuranceLibraryPublishingReal EstateSecurityTrainingTravelOtherPrior Year RevenueRough estimate Projected RevenueAnticipated revenues this year? % Hardware*% of your business is Hardware % Software*% of your business is Software % Services*Percentage business is Services Geography*What geographical area(s) do you serve (check all that apply). Helps us know which leads to send. Local (50 mile) State Wide Regional (multiple states) National International Total # Employees# Inside Sales*# Outside Sales*# Engineers* Relationships & CertificationsPlease list primary vendors you have a formal relationship with (reseller agreements). Include key certifications.Similar or Complimentary ProductsList other products you work with that are similar or complimentary to Company products.Value Added ServicesProvide a description of your primary "Value Added" services (integration, training, custom development, consulting, etc.)DateSelect today's date MM slash DD slash YYYY Agreement*Reseller Authorization Agreement This Agreement is between Acme (“COMPANY”) and the reseller (“Reseller”) and establishes the terms and conditions for Reseller’s participation in the Company Reseller Program (the “Program”). Under the Program, Company will provide marketing and promotional support to Reseller as specified in this Agreement related to Reseller’s purchase and license of Company products for resale. 1. Reseller Qualification 1.1 In order to ensure adequate technical and marketing support to end-users, eligibility to resell Company products is subject to meeting authorization requirements as described in the Program Materials (the elements and general policies are contained within the reseller portal site). These Program Materials contain a detailed description of the benefits to a Reseller as well as the requirements of a Reseller under this program. Reseller will not sell Company products without arranging for adequate post-sales support. 2. Relationships 2.1. Reseller is an independent contractor engaged in purchasing Company products for resale to its customers. Reseller is not an agent or legal representative of Company for any purpose, and has no authority to act for, bind, or commit Company. 2.2. Reseller has no authority to make any commitment on behalf of Company with respect to quantities, delivery, modifications, interfacing capability, suitability of the software, or suitability in specific applications. Reseller has no authority to modify the warranty offered with Company products. Reseller will indemnify Company from liability for any modified warranty or other commitment by Reseller not specifically authorized by Company. 2.3. Reseller will not represent itself in any way that implies Reseller is an agent or branch of Company. Reseller will immediately change or discontinue any representation or business practice found to be misleading or deceptive by Company immediately upon notice from Company. 3. Term, Limitations, Termination 3.1. The term of this Agreement is twelve (12) months from the date of acceptance by Reseller and Company. This Agreement shall automatically renew on each subsequent year for a one-year term unless it is terminated earlier in accordance with this Agreement. 3.2. Company or Reseller may terminate this Agreement without cause at any time upon thirty (30) days written notice or with cause at any time upon fifteen (15) days written notice, except that neither the expiration nor earlier termination of this Agreement shall release either party from any obligation which has accrued as of the date of termination. 3.3. Company may, from time to time, give Reseller written notice of amendments to this Agreement. Any such amendment will automatically become a part of this Agreement thirty (30) days from the date of the notice unless otherwise specified in the notice. 3.4. Upon expiration, non-renewal, or termination of this Agreement, all interests in accrued marketing funds (if any) will automatically lapse–it does not affect any existing outstanding amounts due. 4. Reseller Programs 4.1. Company Reseller program will contain various participation levels. Company will invite Reseller from time to time to participate in the cooperative advertising, market development, and promotional programs offered by Company as defined in the Program Materials. Reseller may, at its option, participate in such programs during the term of this Agreement. Company reserves the right to terminate or modify such programs at any time at its sole discretion. 4.2. Reseller shall exert best efforts to market Company products, and is able to use promotional materials supplied by Company. 4.3. As defined in the Program Materials, Reseller shall have sufficient technical knowledge of the Company products in general, and will have access to appropriate Company sales and technical training. 4.4. Company does not represent that it will continue to manufacture any particular item or model of product indefinitely or even for any specific period. Company specifically reserves the right to modify any of the specifications or characteristics of its products, remove any product from the market, and/or cease manufacturing or supporting it. 4.5. Reseller is expected and encouraged to advertise and promote the sales of Company products through all appropriate media including trade show exhibits, catalogs, direct mailings, space advertising, educational meetings, sales aids, etc. Company must approve all original materials that use Company name or trademarks (aside from modifying existing Company supplied template materials). Company will assist Reseller in advertising and promoting Company products in accordance with Company policy. 5. Limitation of Liability UNDER NO CIRCUMSTANCES, INCLUDING ANY INFRINGEMENT CLAIMS, SHALL Company BE LIABLE TO RESELLER OR ANY OTHER PARTY FOR ANY RE-PROCUREMENT COSTS, LOST REVENUE OR PROFITS OR FOR ANY OTHER SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES, EVEN IF COMPANY HAS BEEN INFORMED OF SUCH POTENTIAL LOSS OR DAMAGE. 6. Use of Company Trademarks 6.1. Reseller acknowledges the following: 6.1.a. Company owns all rights, titles, and interests in the Company names and logotypes. 6.1.b. Company is the owner of certain other trademarks and tradenames used in connection with certain product lines and software. 6.1.c.Reseller will acquire no interest in any such trademarks or tradenames by virtue of this Agreement, its activities under it, or any relationship with Company. 6.2. During the term of this Agreement, Reseller may indicate to the trade and to the public that it is an Authorized Reseller of the Company products. Reseller may also use the Company trademarks and trade names to promote and solicit sales or licensing of Company products if done so in strict accordance with Company guidelines. Reseller will not adopt or use such trademarks or tradenames, or any confusingly similar word or symbol, as part of its company name or allow such marks or names to be used by others. 6.3. At the expiration or termination of this Agreement, Reseller shall immediately discontinue any use of the Company and Company names or trademarks or any other combination of words, designs, trademarks, or tradenames that would indicate that it is or was a reseller of the Company products. 7. Product Warranty 7.1. The warranty terms and conditions will be as specified in the Company Standard Terms and Conditions of Sale (EULA). 7.2. Company WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES WHETHER EXPRESS, IMPLIED OR STATUTORY INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 8. Software 8.1 The software license terms will be specified in Company Standard Terms and Conditions of Sale and any Software Maintenance Agreement entered into by the parties. 9. Proprietary Information 9.1 Company and Reseller shall each exercise due diligence to maintain in confidence and not disclose to any third party any proprietary information furnished by the other to it on a confidential basis and identified as such when furnished. Except in accordance with this Agreement, neither party shall use such information without the permission of the party that furnished it. As used in this paragraph, “due diligence” means the same precaution and standard of care which that party uses to safeguard its own proprietary data, but in no event less than reasonable care. The provisions of this Section shall survive for three (3) years beyond the expiration, non-renewal or termination of this Agreement. 9.2 This Agreement does not grant any license under any patents or other intellectual property rights owned or controlled by or licensed to Company. Reseller shall not have any right to manufacture Company products. 10. Export Controls Regardless of any disclosure made by Reseller to Company or Distributor of an ultimate destination of Company products, Reseller shall not export, either directly or indirectly, any documentation, Company products, or system incorporating such Company products to any locations on the excluded export list. Following are the locations: None at present. 11. Compliance with Laws Reseller agrees to comply with all laws and regulations that are applicable to the business that Reseller transacts. Reseller agrees to indemnify and hold Company harmless for all liability or damages caused by Reseller’s failure to comply with the terms of this provision. 12. Government Contract Conditions In the event that Reseller elects to sell Company products or services to the Government (national, regional, or local), Reseller does so solely at its own option and risk and agrees not to obligate Company as a subcontractor or otherwise to the Government. Reseller remains solely and exclusively responsible for compliance with all statutes and regulations governing sales to the Government. Company makes no representations, certifications, or warranties whatsoever with respect to the ability of its goods, services or prices to satisfy any such statutes and regulations. 13. Miscellaneous Notices under this Agreement must be sent by telegram, telecopy, registered or certified mail, or e-mail if receipt of the e-mail is acknowledged to the appropriate party at its location submitted during the reseller application (or to a new address if the other has been properly notified of the change). A notice will not be effective until the addressee actually receives it. This Agreement and its schedules represent the entire agreement between the parties regarding this subject. This Agreement supersedes all previous oral or written communications between the parties regarding the subject, and it may not be modified or waived except in writing and signed by an officer or other authorized representative of each party. Neither party will be liable to the other for any delay or failure to perform if that delay or failure results from a cause beyond its reasonable control. If any provision is held invalid, all other provisions shall remain valid, unless such invalidity would frustrate the purpose of this Agreement. COMPANY STATE law governs this Agreement without consideration to that body of law referred to as “conflicts of laws”. Company and Reseller will attempt to settle any claim or controversy arising out of it through consultation and negotiation in good faith and a spirit of mutual cooperation. Any dispute which cannot be resolved through negotiation or mediation may be submitted to the courts of appropriate jurisdiction. By submitting this form, I agree to the terms of the partner agreement. Click HERE if you wish to view the agreement in a full page (opens in own window so you won't lose your place in the form). CAPTCHACommentsThis field is for validation purposes and should be left unchanged.