Business Development Contact Form
This form is intended for companies interested in strategic partnerships with This form helps us respond to the numerous proposals we get each month. Please carefully read through this form and fill it out in its entirety. Our apologies, but we cannot respond to telephone proposals or inquiries.
Contact Information
E-mail Address*:
Phone Number*:
Fax Number:
Company Information
Company Name*:
Street Address:
Street Address (Cont'd):
Zip/Postal Code:
Home Page URL:
Type of Company*:
Type of Partnership
Which type of partnership are you seeking?
Which vertical category is of interest?
Description of Partnership
Please give a brief description of the partnership with you are proposing.
* I agree that any ideas, proposals, or other information submitted or collected on this form shall be considered non-confidential. I agree that shall not be under any obligation of confidentiality or non-use with respect to any such information, and may disclose or use such information for any purpose whatsoever, at its sole discretion, with no obligation to compensate or work with the person or entity supplying the information in any manner.
Please read the statement above and check the box to indicate your agreement before submitting this form.
*Note: these fields are required. Please check to make sure they have been filled in before submitting.