NIA Channel Partner Registration Form

* First Name

* Last Name

* Job Title

* Company Name

* Address 1

Address 2

* City

* State/Province

* Zip/Postal Code

* Country

* Email Address

* Phone Number

Mobile Number

Web Site

What type of partner commitment are you interested in?

Referral Partner
As a Verisign Referral Partner, you can gain revenue for recognising an NIA sales opportunity within your customer base. The process is simple and there is no long-term commitment required. If your customer’s success is dependent on a 24/7 web presence, then submit a referral to Verisign and we’ll take it from there. When you submit a lead that results in closed business, Verisign will reward you with one month’s worth of revenue based on the contract value.

Member Reseller
The Member Reseller tier is a great starting point for a small to medium sales force that wants to leverage Verisign’s brand and services. With a small sales target to start, you expand your product portfolio and broaden your value proposition. This level of partnership offers access to Verisign marketing and training materials, sales and technical support resources and sales portal access.

Premier Reseller
This level of partnership is a good fit for larger sales organisations that want to leverage Verisign’s Network Intelligence and Availability portfolio to provide complete technology solutions. As a Premier partner, you benefit from a heightened level of tools and support as you make a stronger commitment to Verisign in terms of sales and product knowledge. Premier partners have an opportunity to co-brand Verisign sales literature, access an online training programme and conduct annual go-to-market planning activities with Verisign sales executives.

Elite Reseller
This level of strategic partnership is ideal for larger sales organisations with well-aligned technology solutions and the ability to commit time and resources to selling integrated products and service with Verisign. As an Elite Reseller, you will participate in annual training and market planning activities and devote time and resources to representing the Verisign brand and services to your customers and prospects. Because of this commitment, Verisign invests in your success with the most exclusive package of productivity tools.

Do Not Know

Total annual revenue Please specify < $100M $100M–499M $500M–999M $1B+

Total no. of employees Please specify < 100 100–500 500–999 1000–4999 5000+

Type of service provider Please specify Managed Security Service Provider Value-Added Reseller Systems Integrator ITO—IT Outsourcing Web Design/Hosting Domain Name Registrar/Reseller Technology Consultant Other

General description of company's products/services

Vertical markets served Please specify Consumer Goods/Retail Energy/Utility Financial Services/Insurance IT Services Manufacturing Media & Entertainment/Content Healthcare/Life Sciences Other Pharmaceuticals Public Sector E-Commerce/Online Advertising ISP/Hosting/Cloud Services Computer HW/SW/SaaS Telecommunications

Size of sales force
(including sales engineers) Please specify 0–20 21–50 51–100 101–500 500+

Are you currently reselling any Verisign services or have you every done so in the past? Please specify None iDefense® Managed DNS DDoS Protection Services Other

When would be the best time for a Verisign representative to contact you?

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