Informatica Partner Program Application

Required fields are labeled in red.

Which below best describes the type of alliance your company would like to have with Informatica?
If you have been referred by an approved Informatica Value Added Distributor (VAD), please provide the VAD and contact.
Do you have an immediate customer opportunity?

Company Information

Company Name
Headquarters Street Address
City
Country
State/Province
ZIP/Postal Code
Phone
Fax
Corporate Website URL

Partner Registration

First Name
Last Name
Work Email
Work Phone
Mobile Phone

Business Information

Number of Informatica Customers
Number of Employees
Year Company Established
Annual Revenue (USD)

Program Information

Please select geography for Alliance
Technology/Solution Focus (select one or more)
Vertical Focus

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