RadiSys Alliance Program Application Form

To apply for the RadiSys Alliance Program, please complete the following form. (bold fields are required):

Contact Information:
NOTE: If you do not have a current Non-Disclosure Agreement (NDA) with RadiSys, please download the RadiSys NDA now, complete the form electronically, and e-mail to rap@radisys.com.
First Name:
Last Name:
Job Title:
Company:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail:
Web Site:
Alliance Type:
Company Description:
Product Information: (for Technology Partners)
Brief overview of product:
Key features/functionality: (50-word max)
Target Market(s):
Estimated price structure:
12-month sales forecast for product: (50-word max)
Product Information:
Key competitors:
Unique Value Proposition: (how we win together)
Sales and Channel Strategy:
Distribution business model with platform/system partner:
Direct or indirect sales model:	Direct Indirect Both
Number of field sales representatives:
Number of channel sales representatives:
Company Financials:
Revenue:
Net Profit:
Cash:
Number of years in business:
Number of employees:
Number of engineers:
Investors (for private companies): (50 word max)
If not profitable, outline path to profitability: (50 word max)
Commitment to Success:
Number of dedicated resources for joint product development/marketing/sales:
Marketing budget for a joint product/alliance: