BlackBerry Partner Program
Pre-Approval Form
Please complete the following form to apply to become a “Member” in the BlackBerry™ Partner
Program. The following definitions shall apply to this application:
“Member”:
Any organization that defines, delivers, resells, recommends, influences and/or integrates IT solutions to end
customers. It is an umbrella term for Sub-Dealers, Resellers, VARs, System and/or Network Integrators,
Consultants and Service Provider, companies that sell any combination of hardware, software and services.
Salutation:
First Name:
Last Name:
Company:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone:
ext.
Email Address:
Fax:
Website Address:
Federal Tax I.D. Number (EIN):
1.
Are you:
a.
b.
c.
d.
Incorporated
Partnership
LLC
Sole Proprietor
2.
Is your company regional or nationwide?
3.
Please list the top three states/provinces you service:
a.
b.
c.
4.
Do you have other office locations?
If yes, where?
5.
How many employees do you have within each of the following groups:
MCSE Support Staff:
Lotus Support Staff:
6.
How large is your sales force?
Internal sales force:
External:
7.
How many employees do you have in total?
8.
How long have you been in business?
Less than 1 year
1 – 4 years
5 – 9 years
10 – 14years
15+ years
9.
What is your target customer base?
Home Business (<6 employees)
Minor Small Business (1-20 employees)
Mid-sized Business (21-50 employees)
Catalogue:
Major Small Business (51-100 employees)
Medium Business (101 -500 employees)
Enterprise (500+ employees)
BlackBerry Partner Program
Pre-Approval Form
10. What is your company’s gross sales revenue from last calendar/fiscal year?
Less than $10 million
10-24 million
25-99 million
100-249 million
250-499 million
500 million – 999 million
1 billion plus
11. Have you, or any business owned in whole or part by you, filed for bankruptcy?
Yes
No
12. What is the primary vertical market you target (if any)?
Financial Services/Accounting/Banking
Manufacturing
Insurance
Education
Legal
Health Care/Medical/Dental/Pharmacy
State/Local Government
Engineering/Scientific
Federal Government
Real Estate
Retail
Telecommunication
Other, please specify:
13. Please describe your experience working with RIM and/or selling BlackBerry
14. Technical Abilities:
Are you currently creating an application for BlackBerry?
C++
Java
Are you currently or interested in selling 3rd party ISV applications?
Yes
No
Do you offer end-users assistance with BlackBerry Enterprise Server integration?
Lotus Domino
Microsoft Exchange
15. If you are currently a reseller of wireless services and/or equipment, which carriers does your
company currently represent?
AT&T Wireless
Nextel
Verizon
T-Mobile
Cingular
Motient
Bell Mobility (Canada)
Rogers (Canada)
Other, please specify:
16. How many BlackBerry handhelds do you forecast selling in the next 12 months?
1 – 999
1,000 – 4,999
5,000 – 9,999
10,000 – 24,999
25,000+
17. What handhelds would you like to sell? Please indicate any preferred carriers you wish to work
with.
BlackBerry 6710™
AT&T Wireless
T-Mobile
Rogers (Canada)
BlackBerry 6750™
Verizon
Bell Mobility (Canada)
BlackBerry 6510™
Nextel
RIM 950™/RIM 957™
Cingular Wireless
Rogers (Canada)
RIM 850™/RIM 857™
Motient
Bell Mobility (Canada)
18. What is the primary focus of your business?
DRAFT – SUBJECT TO CHANGE
© 2001 Research In Motion Limited. All rights reserved. The BlackBerry and RIM families of related marks, images and
symbols are the exclusive properties and trademarks or registered trademarks of Research In Motion Limited. RIM,
Research In Motion, ’Always On, Always Connected‘, the “envelope in motion” symbol and the BlackBerry logo are
registered with the U.S. Patent and Trademark Office and may be pending or registered in other countries.
BlackBerry Partner Program
Pre-Approval Form
Hardware
Professional Services
If other, please specify:
Software
Other
19. Do you currently buy and resell other IT products?
Yes
No
20. Are you subject to a non-competition agreement, or any restrictions or limitations that would
interfere with your ability to perform as a member?
Proposed “Member” hereby authorizes Research In Motion (RIM) and any applicable Research In Motion
airtime service provider, to obtain a credit report and to verify other information provided in order to consider
this application. Proposed “Member” also warrants and represents that the information above is true, and
that he/she is not prevented from entering a BlackBerry Partner Program agreement with Research In
Motion by legal or any other restrictions.
Completed by:
Name (print):
Signature: _________________________________
Date:
DRAFT – SUBJECT TO CHANGE
© 2001 Research In Motion Limited. All rights reserved. The BlackBerry and RIM families of related marks, images and
symbols are the exclusive properties and trademarks or registered trademarks of Research In Motion Limited. RIM,
Research In Motion, ’Always On, Always Connected‘, the “envelope in motion” symbol and the BlackBerry logo are
registered with the U.S. Patent and Trademark Office and may be pending or registered in other countries.