Partner Application Form

Become a Cybectec partner

Thank you for your interest in Cybectec.

We think that our products can help make your organization a success. Please take the time to complete the following form and briefly describe your organization, market, and type of partnership desired.

You must fill in the fields marked with an asterisk (*) in order for us to process your request.

A member of our Sales Department will contact you shortly to discuss partnership opportunities with you.

Contact Information

* First Name:
* Last Name:
* Title:
* E-mail Address:
* Street:
* City:
* State/Province:
* Country:
* Zip/Postal Code:
* Phone Number:
* Fax Number:
Company Information
* Company Name:
Company Mission:
Logo URL:
*Website:
* Please describe your organization:

* Which services do you offer? Check all that apply.
Sales		Integration services
Consulting		Technical support
Training		Network services
Other:
* What is your area of expertise? Check all that apply.
Promotion		Utilities
Integration		SCADA
Industrial		Installation
Training		Commisionning
Automation		Panels & packaging
System design		Protection
Other:
Please provide a brief description of recent industry application:

Market Information
* Please describe your geographical territory:

Who are the largest System Integrators in your market?

Do they compete with you? Yes No
Who are the 5 largest power utility customers in your market ?

Do you have some business with them? Yes No
Are there other large users from other industries? Who are they?

Do you have some business with them?: Yes No
What are the major event in your market for the power sector (conferences or trade shows)?

How can Cybectec help you grow your business?

Type additional information or a custom message here:

Home > Partners > Partner Application Form

Become a Cybectec partner

Contact Information

Company Information

Market Information