Company Name:
Business Address:
Website:
First Name:
Last Name:
Job Title:
Email Address:
Company information
What were your revenues for last year?:
Is your company public or privately held?:
Please Select
Public
Private
In what year was your company founded?:
Number of customers worldwide?:
Number of employees worldwide?:
What type of solution(s) does your company provide?:
Please Select
Consulting Services
Customer Relationship Management
Enterprise Resource Planning
Health Information Management
Managed Services (Hosting
etc.)
Marketing Automation
Software as a Service (SaaS)
Supply Chain Management
Web Analytics
Business Intelligence / Analytics
Data Warehousing
Platform/Infrastructure
Other
What vertical industries do you specialize in and/or focus your sales and marketing efforts towards?
What is your intended purpose for joining the Pervasive CONNECT! program?:
Do you partner with any other data management vendors?:
Please Select
Yes
No
If you do partner w/ other data management vendors, please describe.:
Please describe the joint value proposition with Pervasive Software:
Customer information
List all common customers with Pervasive:
List all integrated customers with Pervasive:
Please provide references for our joint customers:
How many potential new joint customers are in the pipeline?:
Sales Information
Indicate your sales model: Perpetual licenses and/or SAAS:
Average selling price:
Average cost of ownership (includes installation and services):
How many direct sales reps do you have in NA?:
How many direct sales reps do you have in EMEA?:
direct (% of total sales):
reseller (% of total sales):
OEM (% of total sales):
Competition
List your top competitors:
Why do you win against your competitors?:
Product Information
Name(s) of product(s):
Product description(s):
Supported application servers:
Supported databases:
Supported operating systems:
Supported hardware platforms: