Avaya Partner Registration Form



As part of completing this from you will be required to complete a supplemental application form. The form can be found here we suggest you complete this NOW and save to your desk top for use in the Partner coverage section.



PLEASE COMPLETE THE APPLICATION IN ENGLISH



PLEASE ENSURE THAT YOU COMPLETE ALL THE REQUIRED FIELDS AND CHECK THE "ACCEPT T's AND C's" BOX AT THE BOTTOM OF THIS PAGE TO ENSURE YOUR APPLICATION IS PROPERLY SUBMITTED. THANK YOU




Hide Section - Account Details
Partner's Account Name
Doing Business Name/Trading As
Address Line 1 Please DO NOT use a PO BOX as the physical address. The application will be denied unless we can validate a physical address exists for you.
Company Tax ID/ VAT
Address Line 2 Chamber of Commerce/Company ID
Address Line 3 Parent Company Name
City
StateAddress - State/Province Lookup (New Window)
Country
Address-Country Lookup (New Window)
Year of Incorporation
Post/Zip Code Place of Incorporation
Phone (Include Country Code)
Company URL
Have you ever been a reseller with Avaya?
Have you been recruited [Asked to Join Avaya] by a Distributor or an Avaya Representative? If you choose the Distributor option you will be required to choose the distributor from the search menu, the choice of distributor is based on the country you have entered on your application.
Agrees to be in Partner Finder?
Hide Section - Contacts
Salutation First Name Last Name Phone (Include Country Code) Email
Primary Contact | The Primary Contact is the individual who will receive all notification regarding the Application to be a Partner with  Avaya | | |
Technical/Support Contact | The Technical Support person is the individual Avaya would work with regarding any Product or Services issues or questions | | |
Business Development Manager The Business Development manager is the individual we would contact regarding Business plans created by Avaya that require approval
Sales Lead | The Sales lead is a key role and is the person who will be notified when any leads or opportunities are added to you account | | |
PRM Administrator | The PRM administrator is the individual Avaya would expect to ensure you account record in PRM is kept current and up to date | | |
Hide Section - Partner Details
No. of Employees (Total)
No. of Sales Employees
No. of Post-Sales Support (Total)
No. of Marketing Employees
No. of Pre-Sales Support (Total)
  
Hide Section - Partner Coverage
Target Market Segment Enterprise/Large Business>2000 users.
Small & Medium Enterprise(SME)< 2000 users.
Add

Remove
Avaya Portfolio you intend to sell/deliver
Add

Remove
(Type the path of the file or click Browse button to find the file)

Vertical Market
Add

Remove
Other Vendor Relationships
Add

Remove
Women/Minority Owned
(US Only)
Hide Section - Other Contacts
Salutation First Name Last Name Phone (Include Country Code) Email Address Role
Hide Section - Partner Registration Submitter
Click on this link to review T's & C's Terms and Conditions

Click on this link to review Channel Partner Code of Conduct Channel Partner Code of Conduct
By checking this box, I acknowledge and represent that I have read, understood and accept the terms and conditions of this Agreement on behalf of Reseller and have the authority to bind the Reseller to the terms and conditions hereto.I also acknowledge that I have read, understood and agree to abide by the Channel Partner Code of Conduct.
   Comments
Same As Primary Contact
Avaya Supplemental Application Information Form