Company Name (*)

Contact Person (*)

Position (*)

Address (*)

Telephone (*)

Mobile Phone (*)

Email Address (*)

Years in Business

Website URL (*)

Number of Staff (*)

Number of Tech Staff (*)

Business Type (*) System Installer / Integrator Value Added Reseller Etail/Retail Distributor WISP/ISP MSP Other

Partner Type (*) EnPower (no annual rev. requirement) EnPower-Elite Business Solutions Dealer ($3,000 per qtr. Rev. requirement) E-commerce (20%> of business done through ecommerce) Graybar ISP

Products of Interest (*)

Smart HomeX  USB Phone/Adapter SoftPhone, VoIP Gateway AP Router, IP Cam, etc Others

Which services do you provide for your customers? Hold control and click to select multiple. Configuration Installation Product Repair Switch management Troubleshooting Other (please specify)

If other, specify here.

Approximately how much of your overall revenue comes from current switch product sales? 0 - 10% 10 - 25% 25 - 50% 50%+

Do you want to purchase samples immediately for testing?