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Reseller Partner Sign Up

Please complete the form below to get started as a Minerva Reseller Partner.

First Name *
Last Name *
Company
Address *
City *
State *
Zip Code *
Country *
Phone
Fax
Email *
Website

How did you hear about the Minerva Partner Program?

Magazine
Minerva Sales Rep
Minerva Web Site
A Colleague
Other

Services offered by your company:

LAN Integration
Network Security Integration
Web Site Development
Database/App. Development
WAN Integration
Web Hosting
Internet Service Provider
Other

Current hosting company:

Verio
Navisite
Rackspace
GoDaddy
Other

List other hosting partner programs you are involved in, if any.

If you are currently working with a Minerva sales rep, please enter his/her name.

Comments/Questions

Minerva Partner Agreement

By checking this box, I verify that I have read the above statement and agree to the Minerva Partner Agreement.