Please complete this form to apply as an LeadMaster partner.
Please call us at (800) 699-4164 x719 if you have any questions.

Contact Information

Company Name
Title
First Name
Last Name
Address1
Address2
City
State
Zip Code
Phone #
Fax #
Country
E-mail
Website
Please let us know
how you'd like to partner
with LeadMaster.


By submitting this form, I agree to the terms of the reseller agreement. Click here to view the LeadMaster Partner Agreement (opens in its own window).
Please e-mail our Partner Manager if you have problems submitting this form, or you have any questions.
If you prefer, you are welcome to print this completed form and FAX it to (425) 955-8864. Attn: Partner Program Manager.

Company Information

Years in Business
Business Type
 Corporation
 Partnership
 Proprietor
Total # of Employees  
# Inside sales
# Outside sales
# Engineers
Prior year annual revenue Projected revenue this year
Percentage of revenue
(totals 100%):
Hardware
Software
Services
Accounting Contact
Accounting Phone
Purchasing Contact
Purchasing Phone
Marketing Contact
Marketing Phone
Do you work with a Distributor?
Yes
If yes, which Distributor(s) do you purchase from? Ingram Micro Tech Data D&H CDW Navarre GE
Other:
If yes please provide one distributor account # (used to verify reseller status). Distributor Phone Distributor Acct Number Name Associated with Account

How would you classify your company? (check all that apply)
 Reseller  VAR  Sys Integrator  OEM  Training  Chain  Mail Order  Distributor
 Consultant  Marketing Agency  Ad Agency  SEO  Web Designer  SEM  E-Commerce
 Franchise  Lead Provider  Call Center  Association  Email Marketing  Telephony  Event Mgmt  
Other

Select vertical markets you “concentrate” on and specialize in  - check all that apply
 Accounting  Advertising  Automotive  Aviation-Aero  Chemical  Call Center  Construction
 Education  Entertainment  Finance-Brokers  Fortune 500  Government  Healthcare  High Tech
 Insurance  Library  Manufacturing  Mortgage  Publishing  Real Estate  Security
 Small Business  Training  Travel Other (list):  

What geographical area do you serve?
 Local (50 miles)  State-wide  Regional National  International
 Canada  UK  Latin America  Asia-Pacific  EMEA

Sales team information - check all that apply
 SaaS Experience 
 CRM Knowledge
 Online Presentations
 Virtual Sales Reps

Indicate which types of marketing activities you engage in - check all that apply
 Webinars  Seminars  Newsletters  Trade Shows
 Telemarketing Lunch-n-Learn  Direct Mail/Response  Print Ads
Other:

Relationships & Certifications
Please list other primary vendors you have a formal (reseller agreements) relationship with. Include key certifications.
Please provide a description of your primary “value added” services (integration, training, custom development, etc.)
What other products do you sell that are similar or complementary to LeadMaster CRM software?

Click here to view the LeadMaster Partner Agreement (opens in its own window). Please e-mail our Partner Manager if you have problems submitting this form, or you have any questions. If you prefer, you are welcome to print this completed form and FAX it to (425) 955-8864. Attn: Partner Program Manager.


By submitting this form, I agree to the terms of the reseller agreement.