PARTNERS PROGRAM UNIVERSO HASAR APPLICATION FORM

To apply to Grupo Hasar's Partner Program, please fill out the form below.

Select

I'm interested in becoming: *

Reseller

ISV

Sponsor

Alliance

Select

How did you find out the program?:

Reseller

Employee from Grupo Hasar

Press

Other

Reference:

Company

Legal Entity: *

Company Name: *

Legal Address: *

Company Address: *

Location:

Subsidiaries: Nº

Web: http://

Brief description of the Company:

Field

Please select the options that best describes your Company.

Hardware: *

Manufacturer

Wholesaler

Distributor

None

Software: *

Manufacturer

Wholesaler

Distributor

None

Represents a Chamber or Association: Detail

Contact info

Name: *

Job Title: *

E-Mail: *

Phone Number: *

Fax:

Cell Phone Number:

Other: