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Register to become an Channel Partner
To become an IxChariot Channel Partner you will need to follow these steps:
Fill out the application
Ixia will review your information and will either accept or decline your application
After you have been accepted into the program, you will receive your login credentials
For assistance with your registration, please contact us at
Account Information
Salutation:
[Select]
Mr.
Mrs.
Miss
Dr.
Prof.
Ms.
First Name
*
Last Name
*
Company
*
Job Title
*
Address Line 1
*
Address Line 2
Address Line 3
City
*
State/Prov
*
:
[US] Alabama
[US] Alaska
[US] American Samoa
[US] Arizona
[US] Arkansas
[US] Armed Forces Americas (Except Canada)
[US] Armed Forces Europe
[US] Armed Forces Pacific
[US] California
[US] Colorado
[US] Connecticut
[US] Delaware
[US] District Of Columbia
[US] Federated States Of Micronesia
[US] Florida
[US] Georgia
[US] Guam
[US] Hawaii
[US] Idaho
[US] Illinois
[US] Indiana
[US] Iowa
[US] Kansas
[US] Kentucky
[US] Louisiana
[US] Maine
[US] Marshall Islands
[US] Maryland
[US] Massachusetts
[US] Michigan
[US] Minnesota
[US] Mississippi
[US] Missouri
[US] Montana
[US] Nebraska
[US] Nevada
[US] New Hampshire
[US] New Jersey
[US] New Mexico
[US] New York
[US] North Carolina
[US] North Dakota
[US] Northern Mariana Islands
[US] Ohio
[US] Oklahoma
[US] Oregon
[US] Palau
[US] Pennsylvania
[US] Puerto Rico
[US] Rhode Island
[US] South Carolina
[US] South Dakota
[US] Tennessee
[US] Texas
[US] Utah
[US] Vermont
[US] Virgin Islands
[US] Virginia
[US] Washington
[US] West Virginia
[US] Wisconsin
[US] Wyoming
[CA] Alberta
[CA] British Columbia
[CA] Manitoba
[CA] New Brunswick
[CA] Newfoundland And Labrador
[CA] Northwest Territories
[CA] Nova Scotia
[CA] Nunavut
[CA] Ontario
[CA] Prince Edward Island
[CA] Quebec
[CA] Saskatchewan
[CA] Yukon
(n/a) Other
Country
*
:
[Select]
Afghanistan [AF]
Aland Islands [AX]
Albania [AL]
Algeria [DZ]
American Samoa [AS]
Andorra [AD]
Angola [AO]
Anguilla [AI]
Antarctica [AQ]
Antigua And Barbuda [AG]
Argentina [AR]
Armenia [AM]
Aruba [AW]
Australia [AU]
Austria [AT]
Azerbaijan [AZ]
Bahamas [BS]
Bahrain [BH]
Bangladesh [BD]
Barbados [BB]
Belarus [BY]
Belgium [BE]
Belize [BZ]
Benin [BJ]
Bermuda [BM]
Bhutan [BT]
Bolivia [BO]
Bosnia And Herzegovina [BA]
Botswana [BW]
Bouvet Island [BV]
Brazil [BR]
British Indian Ocean Territory [IO]
Brunei Darussalam [BN]
Bulgaria [BG]
Burkina Faso [BF]
Burundi [BI]
Cambodia [KH]
Cameroon [CM]
Canada [CA]
Cape Verde [CV]
Cayman Islands [KY]
Central African Republic [CF]
Chad [TD]
Chile [CL]
China [CN]
Christmas Island [CX]
Cocos (Keeling) Islands [CC]
Colombia [CO]
Comoros [KM]
Congo [CG]
Congo, The Democratic Republic Of The [CD]
Cook Islands [CK]
Costa Rica [CR]
Cote DIvoire [CI]
Croatia [HR]
Cuba [CU]
Cyprus [CY]
Czech Republic [CZ]
Denmark [DK]
Djibouti [DJ]
Dominica [DM]
Dominican Republic [DO]
Ecuador [EC]
Egypt [EG]
El Salvador [SV]
Equatorial Guinea [GQ]
Eritrea [ER]
Estonia [EE]
Ethiopia [ET]
Falkland Islands (Malvinas) [FK]
Faroe Islands [FO]
Fiji [FJ]
Finland [FI]
France [FR]
French Guiana [GF]
French Polynesia [PF]
French Southern Territories [TF]
Gabon [GA]
Gambia [GM]
Georgia [GE]
Germany [DE]
Ghana [GH]
Gibraltar [GI]
Greece [GR]
Greenland [GL]
Grenada [GD]
Guadeloupe [GP]
Guam [GU]
Guatemala [GT]
Guinea [GN]
Guinea-Bissau [GW]
Guyana [GY]
Haiti [HT]
Heard Island And Mcdonald Islands [HM]
Holy See (Vatican City State) [VA]
Honduras [HN]
Hong Kong [HK]
Hungary [HU]
Iceland [IS]
India [IN]
Indonesia [ID]
Iran, Islamic Republic Of [IR]
Iraq [IQ]
Ireland [IE]
Israel [IL]
Italy [IT]
Jamaica [JM]
Japan [JP]
Jordan [JO]
Kazakhstan [KZ]
Kenya [KE]
Kiribati [KI]
Korea, Democratic Republic Of [KP]
Korea, Republic Of [KR]
Kuwait [KW]
Kyrgyzstan [KG]
Lao Democratic Republic [LA]
Latvia [LV]
Lebanon [LB]
Lesotho [LS]
Liberia [LR]
Libyan Arab Jamahiriya [LY]
Liechtenstein [LI]
Lithuania [LT]
Luxembourg [LU]
Macao [MO]
Macedonia, The Former Yugoslav Republic Of [MK]
Madagascar [MG]
Malawi [MW]
Malaysia [MY]
Maldives [MV]
Mali [ML]
Malta [MT]
Marshall Islands [MH]
Martinique [MQ]
Mauritania [MR]
Mauritius [MU]
Mayotte [YT]
Mexico [MX]
Micronesia, Federated States Of [FM]
Moldova, Republic Of [MD]
Monaco [MC]
Mongolia [MN]
Montserrat [MS]
Morocco [MA]
Mozambique [MZ]
Myanmar [MM]
Namibia [NA]
Nauru [NR]
Nepal [NP]
Netherlands [NL]
Netherlands Antilles [AN]
New Caledonia [NC]
New Zealand [NZ]
Nicaragua [NI]
Niger [NE]
Nigeria [NG]
Niue [NU]
Norfolk Island [NF]
Northern Mariana Islands [MP]
Norway [NO]
Oman [OM]
Pakistan [PK]
Palau [PW]
Palestinian Territory, Occupied [PS]
Panama [PA]
Papua New Guinea [PG]
Paraguay [PY]
Peru [PE]
Philippines [PH]
Pitcairn [PN]
Poland [PL]
Portugal [PT]
Puerto Rico [PR]
Qatar [QA]
Reunion [RE]
Romania [RO]
Russian Federation [RU]
Rwanda [RW]
Saint Helena [SH]
Saint Kitts And Nevis [KN]
Saint Lucia [LC]
Saint Pierre And Miquelon [PM]
Saint Vincent And The Grenadines [VC]
Samoa [WS]
San Marino [SM]
Sao Tome And Principe [ST]
Saudi Arabia [SA]
Senegal [SN]
Serbia And Montenegro [CS]
Seychelles [SC]
Sierra Leone [SL]
Singapore [SG]
Slovakia [SK]
Slovenia [SI]
Solomon Islands [SB]
Somalia [SO]
South Africa [ZA]
South Georgia And The South Sandwich Islands [GS]
Spain [ES]
Sri Lanka [LK]
Sudan [SD]
Suriname [SR]
Svalbard And Jan Mayen [SJ]
Swaziland [SZ]
Sweden [SE]
Switzerland [CH]
Syrian Arab Republic [SY]
Taiwan, Province Of China [TW]
Tajikistan [TJ]
Tanzania, United Republic Of [TZ]
Thailand [TH]
Timor-Leste [TL]
Togo [TG]
Tokelau [TK]
Tonga [TO]
Trinidad And Tobago [TT]
Tunisia [TN]
Turkey [TR]
Turkmenistan [TM]
Turks And Caicos Islands [TC]
Tuvalu [TV]
Uganda [UG]
Ukraine [UA]
United Arab Emirates [AE]
United Kingdom [GB]
United States [US]
United States Minor Outlying Islands [UM]
Uruguay [UY]
Uzbekistan [UZ]
Vanuatu [VU]
Venezuela [VE]
Viet Nam [VN]
Virgin Islands, British [VG]
Virgin Islands, U.S. [VI]
Wallis And Futuna [WF]
Western Sahara [EH]
Yemen [YE]
Zambia [ZM]
Zimbabwe [ZW]
Zip/Postal Code
*
:
Email Address
*
:
Organization URL:
Direct Line
*
:
*
(Country Code)
*
(Area Code)
*
(Ext.)
Company Main Line:
(Country Code)
(Area Code)
(Ext.)
Mobile Phone:
(Country Code)
(Area Code)
Fax:
(Country Code)
(Area Code)
Partner Profile
*
Form of Organization:
[Select]
Corporation
Sole Proprietorship
Partnership
Limited Partnership
Limited liability Company
Countries/States/Territories you are authorized to do business in
*
:
What products do you focus on selling to your customers?
Are you the primary contact for the Ixia relationship?
*
[Select]
Yes
No
If not, please provide the name of the person:
Which is your primary vertical market segment
*
[Select]
Agriculture
Apparel
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance
Food & Beverage
Government
Healthcare
Hospitality
Insurance
Machinery
Manufacturing
Media
Not For Profit
Other
Recreation
Retail
Shipping
Technology
Telecommunications
Transportation
Utilities
Which is your secondary vertical market segment
[Select]
Agriculture
Apparel
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance
Food & Beverage
Government
Healthcare
Hospitality
Insurance
Machinery
Manufacturing
Media
Not For Profit
Other
Recreation
Retail
Shipping
Technology
Telecommunications
Transportation
Utilities
Primary customer
*
:
[Select]
Consumer (Home and Home Office)
Large Business (500+ Employee Firms)
Medium Business (100-499 Employee Firms)
Public
ESL (Education, State and Local)
Education - Local
Education - State
Federal
Federal - Civilian
Federal - Dept. of Defense
Healthcare - Private
Healthcare - Public
Small Business (1-99 Employee Firms)
Secondary Customer:
[Select]
Consumer (Home and Home Office)
Large Business (500+ Employee Firms)
Medium Business (100-499 Employee Firms)
Public
ESL (Education, State and Local)
Education - Local
Education - State
Federal
Federal - Civilian
Federal - Dept. of Defense
Healthcare - Private
Healthcare - Public
Small Business (1-99 Employee Firms)
Ixia Sales Rep (if known):
Reseller Tax ID
Selling Method
*
:
Direct sales
Telesales
Internet
Service Revenue?
*
%
Software Revenue?
*
%
Hardware Revenue?
*
%
Annual Revenue for the last fiscal year?
*
Total Number of Employees?
*
Total number of employees in inside/telephone sales force?
*
Total number of employees in Outside/Direct sales force?
*
Total number of technical employees on staff?
*
Total number of software developers on staff?
*
Total number of marketing employees on staff?
*
Number of years in business?
*
Number of years in industry?
*
Credit Terms Requested?
*
[Select]
Yes
No
Terms & Conditions
Terms & Conditions
*
:
I agree the Ixia Channel Program
Terms and Conditions
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