Potential Partner Contact Form

Partner Enquiry Form - ANZ

CONTACT INFORMATION

Company Name*:

Country*:

You

First Name*:

Last Name*:

Position*:

Telephone*:

E-mail*:

Company

Address:

State:

Country:

Post Code:

Main Telephone:

Main Fax:

Main E-mail:

Website:

COMPANY DETAILS

When was your company established?*:

Do you have branches in other cities?*:

	Yes
	No

If yes, where?:

Telephone:

Primary Contact:

Annual Turnover*:

Number of Employees*:

Your Primary Market*:

Your Core Business*:

Current Products Portfolio (by brand name)*:

Primary Interest in Kaspersky Lab Products:

Kaspersky Open Space Security

Kaspersky Anti-Virus

Kaspersky Internet Security

Kaspersky Mobile Security

Your Distributor*:

Preferred Partner Status*:

Please type the characters as shown in the image (not case sensitive):