Potential Vendor Questionnaire

New Vendor Application

Thank you for your interest in becoming a new Force 3 vendor. You will receive an e-mail confirmation of your application after you have completed the following form. It will take up to 21 days to process your application. You will be contacted shortly after we process your application, and will be notified if we need to conduct a further review of your application. The complete review process may take up to 90 days.

Required fields are marked with an asterisk (*). If a required field is not applicable, please enter "N/A".

**Only thoroughly completed applications will be considered for review. To prevent the need to fill out the application again for resubmission, please make sure you provide complete answers to the questions.

Section I: Contacts/ Who you are:

Contacts:

Phone numbers should only include digits, parentheses, hyphens, and spaces or periods. You will have the opportunity to review and edit the information you have entered once all parts of the questionnaire have been completed.

* Company name:

* Type of contact:

* First Name:

* Last Name:

* Address line 1:

Address line 2:

Address line 3:

* City:

* State:

* ZIP:

* Phone number:

Extension:

Alternate phone number:

* Email:

Did anyone at Force 3, Inc. recommend you to submit the application?

(Click to indicate yes)

Has Force 3, Inc. sold your product before?

(Click to indicate yes)

Who you are:

* Please enter your company's total revenue:

* Please enter the total number of employees:

* Please enter your company's Federal Tax ID Number (upon acceptance, you will be requested to provide a W9 Form):

* Please select the technology that you represent:

* Please provide a brief description of the technology that you represent:

* Please provide a brief description of your solution:

* Please describe how your technology matches/improves Force 3's current offerings?

* What is your average deal size in revenue?

* Please list your company's primary competitors:

Date: