Company Information
*Company Name:
*Address:
*City:
*State:
-Pick State-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Armed Forces Africa, Canada, Europe, Middle East
Armed Forces Americas
Armed Forces Pacific
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virigin Islands
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Other / Not Listed
*Country:
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Australian Ext. Terr.
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Bulgaria
Burkina Faso
Burundi
Cameroon
Canada
Cape Verdi
Caribbean Nations
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros and Mayotte
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
Ecuador
Egypt
El Salvador
Equitorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Antilles
French Guiana
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada/Carricou
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati Republic
Korea, Democratic People's Rep
Korea, Republic of
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Lithuania
Luxemburg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique (French Antilles)
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre & Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Vanuatu
Vatican City
Venezuela
Viet Nam
Vietnam
Virgin Islands
Wallis and Futuna
Yemen
Zaire
Zambia
Zimbabwe
*Zip:
*Years in Business:
*Annual Revenue:
US$
*Number of Employees:
*Public or Private:
Public
Private
*Company website URL:
Contact Information
*Marketing Contact:
*Title:
*Phone Number:
*Fax Number:
*E-mail address:
*Development Contact:
*Title:
*Phone Number:
*Fax Number:
*E-mail address:
Product/Service Information
Please describe your company's needs/expectations in a potential partnership with Sage Software:
Product/service name:
Product/service description:
Price point (Customer):
US$
Release date/version number:
What problem or need does your product answer for ACT! users:
Sales and Marketing
Describe the marketing methods used within your company:
Is your 12-month forecast of this product:
Less than 500 units
500 to 2,500 units
2,500 to 10,000 units
More than 10,000 units
Do you sell your product through:
(Check all that apply)
Retail
Direct Sales
VARs
Mail Order
Electronic/On-line
Other (describe)
Describe the methods you plan to utilize to create product awareness:
(Check all that apply)
Print
Direct Marketing
In-Store Demos
Direct Sales Force
Website
Other (describe)
Please list your competitors:
Annual marketing budget devoted to product awareness:
US$
Describe how technical support issues will be handled for customers:
Development
Operating systems supported: (Check all that apply)
Windows Vista
Windows XP
Windows Me
Windows 2000
Windows 98
Windows NT
Windows CE
Other (specify)
Describe how your product/service will integrate with ACT!:
General Comments
General Comments:
The information I've provided above is true and accurate. Any information that I receive from
Sage Software is to be considered confidential. I agree to sign a Sage Software
Non-Disclosure Agreement (NDA) if requested. I understand that by providing the above
information in no way obligates Sage Software.