Bright Ideas Partner Program

Corporate Name/DBA*				Organization Type*	Private Public
Address*
City*
State / Province*		Zip / Postal Code*
Country*
Web Site Url*

Executive Contact (Executive sponsor for the relationship)
Name*		Phone*
Title*		Fax
Office Location		Email*
Sales Contact (Primary contact for account management)
Name		Phone
Title		Fax
Office Location		Email
Technical Contact (Primary contact for technical support issues)
Name		Phone
Title		Fax
Office Location		Email

Description of Business
Description of Products
Description of Services

---

Date Established:		Number of Offices:
Annual Sales:		Number of Employees:
Number of Sales Reps:		Number of Marketing Reps:
Number of Tech Reps:		Number of Sales Managers:

---

Primary Industry Verticals Your Company Focuses On:
1.
2.
3.
4.
5.

Select a program:
	Technology Partners	Software and services providers interested in integrating the Elluminate Learning Suite™ with their offerings.
	Affiliate Partners	Any education-focused, commercial organizations that share a passion for Elluminate and want to use the Elluminate Learning Suite to promote, demonstrate, and support their own products and services.
	Referral Partners	Organizations or individuals who desire to refer qualified prospects to Elluminate.
Expected Annual Sales of Elluminate Products: