Blackberry Authorized Training Partner Program

BlackBerry Authorized Training Partner Program

Candidate Registration Form

Partner Name: Click here to enter text.

Legal Company Name: Click here to enter text.

Doing Business As (dba): Click here to enter text.

Address: Click here to enter text.

Street: Click here to enter text.
City: Click here to enter text.
ZIP/Postal Code: Click here to enter text.
State/Province: Click here to enter text.
Country: Click here to enter text.
Main Phone: Click here to enter text.
Main Fax: Click here to enter text.

Main Email: Click here to enter text.

Company Website: Click here to enter text.

Company Email Domain: Click here to enter text.

Other Company Locations: Click here to enter text.

Years in Business: Click here to enter text.

In addition to training services does your company provide any other IT related services? Choose an item.

If yes, please specify: Click here to enter text.

Has your company ever signed a Non-Disclosure Agreement with BlackBerry? Choose an item.

Is your company already a BlackBerry Business partner? Choose an item.

If yes, please specify: Click here to enter text.

Is your company using any BlackBerry Enterprise Solution? Choose an item.

If yes, please specify: Click here to enter text.

Are there any BlackBerry Certified Professionals as part of your training staff?

If yes, please fill the following form:

Trainer First Name / Trainer Last Name / Email Address / BlackBerry Certified System Administrator Certification ID / BlackBerry Certified Helpdesk Specialist Certification ID
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.

Brief description of your company and business model:

Click here to enter text.

Primary Contact First Name: Click here to enter text.

Primary Contact Last Name: Click here to enter text.

Primary Contact Phone Number: Click here to enter text.

Primary Contact Email Address: Click here to enter text.

Training Contact First Name: Click here to enter text.

Training Contact Last Name: Click here to enter text.

Training Contact Phone Number: Click here to enter text.

Training Contact Email Address: Click here to enter text.

Operations Contact First Name: Click here to enter text.

Operations Contact Last Name: Click here to enter text.

Operations Contact Phone Number: Click here to enter text.

Operations Contact Email Address: Click here to enter text.

Billing Contact (to appear on invoice) First Name: Click here to enter text.

Billing Contact (to appear on invoice) Last Name: Click here to enter text.

Accounts Payable Contact First Name: Click here to enter text.

Accounts Payable Contact Last Name: Click here to enter text.

Accounts Payable Contact Email: Click here to enter text.

Accounts Payable Contact Phone: Click here to enter text.

Business Currency: Choose an item.
Tax Identification Number: Click here to enter text.

Tax Identification (EIN, VAT, TVA, IVA): Choose an item.
Do you have Tax Exempt Status: Choose an item.

If yes, please attach the exemption certificate to your email submission.