Authorized Berkshire Systems Integrators Application

Essential Information

Contact Name
Contact E-Mail
Web Site
Telephone
Fax

Company Address

Company Name
Address #1
Address #2
City		State	** AK AL AR AZ CA CO CT DC DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY	Zip
Country	United States of America Algeria American Samoa Anguilla Barbuda Argentina Aruba Australia Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Bequia Bermuda Bolivia British Virgin Islands Brazil Cameroon Canada Cayman Islands Chile China Colombia Costa Rica Croatia Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Ethiopia Fiji Finland France French Antilles French Polnesia Gabon Germany Ghana Greece Grenada Guadeloupe Guam Guantanamo Bay Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kenya Korea Kuwait Liberia Libya Liechtenstein Luxembourg Malawi Malaysia Mali Malta Mexico Monaco Montserrat Morocco Mustique Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Nigeria Norway Oman Pakistan Palm Island Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Saipan San Marino Saudia Arabia Senegal Singapore Slovakia South Africa Spain Sri Lanka St Kitts & Nevis St Lucia St Vincent Suriname Sweden Switzerland Taiwan Tanzania Thailand Trinidad & Tobago Tunisia Turkey Turks & Caicos Islands Union Island United Arab Emirates United Kingdom United States of America Uruguay Vatican City Venezuela Yemen Arab Republic Zaire Zimbabwe

Company Information

Type of Company	Accounting Firm Cabling/Networking Company Computer Company Other
Number of Employees	1 Employee 1-5 Employees 5-10 Employees 10-25 Employees 25-100 Employees 100-1,000 Employees 1,000-10,000 Employees 10,000-100,000 Employees 100,000+ Employees
Years in Business	0-1 Years 1-5 Years 5-10 Years 10-25 Years 25-100 Years 100+ Years
Number of Clients	1-5 Clients 5-10 Clients 10-25 Clients 25-100 Clients 100-1,000 Clients 1,000-10,000 Clients 10,000+ Clients

Sales Information

New Clients Per Year	1 New Clients 1-5 New Clients 5-10 New Clients 10-25 New Clients 25-100 New Clients 100-1,000 New Clients 1,000+ New Clients
Clients to be Switched to Berkshire	1 New Clients 1-5 New Clients 5-10 New Clients 10-25 New Clients 25-100 New Clients 100-1,000 New Clients 1,000+ New Clients
Number of Salespeople	1 Salesperson 1-5 Salespeople 5-10 Salespeople 10-25 Salespeople 25-100 Salespeople 100-1,000 Salespeople 1,000+ Salespeople

Expertise on Staff of your Company

CPA's on Staff
CMA's on Staff
CFP's on Staff
Public Accounts's on Staff
RCDD's on Staff
Certified Cablers on Staff
Computer Tech's on Staff
Network Tech's on Staff

Types of Berkshire System Integrator Authorization:

Authorized Berkshire System Integrator (Software)
Authorized Berkshire System Integrator (Hardware)

Any Additional Information