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Teaming with Telcordia Form

Thank you for expressing interest in exploring teaming with Telcordia Technologies.

Please fill out the following form below to communicate your initial interest to our Teaming Program. Providing complete information will enable us to ensure contact with the right individuals to talk with you. We will respond promptly to your online invitation to discuss possible interests. Please note that submitting this form does not obligate your company or Telcordia in any way, nor does it automatically qualify you. Please provide only unrestricted, non-proprietary information.

Background Information

(* = Required fields.)

Primary Contact Information

Who should Telcordia contact in your company to discuss the teaming opportunity?

Salutation*:
First Name*:
Last Name*:
Title*:
Business Phone*:
Mobile Phone*:
E-mail*:
Address 1*:
Address 2:
City*:
State/Province*:
Zip/Postal Code*:
Country*:

Company Information
Company Name*:
If Applicable, Organization with Interest within Company:
Parent Company and/or Affiliates:
Web Site URL*:
Company Established in (indicate year)*:
Total Number of Employees*:
Total Annual Revenue ($M)*:
Company Ownership*:

If Company address is same as above, please check here.

If Company address is not same as above, please fill out the required information below:

Address 1*:
Address 2:
City*:
State/Province*:
Zip/Postal Code*:
Country*:

What products or services do you provide*?
(Select all that apply)
Networking Equipment
Network Services
Software
Switching Equipment
Network & System Integration
Supply Chain Management
Outsourcing
 Consulting
Design & Engineering
Installation
Maintenance
Project Management
Training
Other, please describe:

What region do you serve*?
(Select all that apply)
USA
Canada
Europe/Middle East/Africa
Caribbean/Latin America
Mexico
Asia/Pacific

Opportunity Description and Benefits

My company's interest in partnering with Telcordia involves the following Telcordia capabilities*:
(Select all that apply)
Software Products and Solutions
Professional Services
Managed Services or Outsourcing
Applied Research
Other, please describe:

The products or services of my company which can benefit Telcordia in a teaming arrangement are*:

Select the teaming arrangement*:
Please select the options that best describe the opportunities you wish to pursue.
(Select all that apply)
To select multiple answers, hold Ctrl and click on all that apply

Please describe the contributions from and value to your company and Telcordia from the proposed relationship. If you know which Telcordia products and/or services you would like to work with, please include them here*:


Please describe the first specific prospect associated with your interest in teaming with Telcordia*:


Please list your current alliances and partners and the nature of your relationship for each*:


Thank you for your interest in teaming with Telcordia Technologies. By submitting this form, you indicate you are aware of and accept the associated Terms and Conditions.