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Authentication Services Reseller Application

Please fill in the following required fields:

Company Name:

1. Company Contact Information

Primary Contact
Title
Direct Phone
Other Phone
Main Phone
E-mail
Web site


2. VeriSign Experience
Have you sold VeriSign products before?
Approx 2009 Bookings to VeriSign
VeriSign Products Sold


3. Company Sales Information
Does your company sell to enterprise companies?
No. of sales people selling to enterprise accounts
Do you have a focus on selling enterprise security solutions? Yes
No
Types of security product sold
Current security certifications
Top three industries
Do you have vertical selling expertise and penetration in
financial services and e-commerce markets? 		Yes
No
Geographic coverage
To which markets are you interested in reselling IAS solutions?
Approximate 2009 Company Turnover
Projected 2010 Company Turnover