Aptiris Partner Benefits Application

Please enroll me in the Partner Benefits Program
* Program Level

Organization
* Name
* Address
* City
* State/Province
* Zip/Postal Code
* Organization Type

Technical Contact
* Name
* Position
* Email
* Phone

Administrative Contact
Name
Position
Email
Phone

Server Information
* FC Serial Number * M&S Renewal Date
Regular/Staff License # Session License #
Student License # Archive License #
UC License # Other Licenses

Billing Information (Premier Partner Program Only)
Please send an invoice for $2500 US to the address above for our annual Premier Partner registration.
PO/Reference


 

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