Aresllerapp107 HPE Partner Application Form

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Hewlett Packard Enterprise Business Partner Program
Application Form

Thank you for your interest in becoming a Hewlett Packard Enterprise Business Partner!
Please remember that this is an indirect purchasing program: All HPE products must be purchased through
approved HPE distributors (see page 2 for further details).
Please complete all sections of this word .doc form and forward to HPE via email only:





email: hpepartneranz@hpe.com
Please note we are unable to accept handwritten applications
Please note we are unable to accept faxed applications
Double click check boxes to select

Company details

Trading Name:

Legal Name:

ABN:

Registered for GST:

Yes

No

Company E-mail:

Company location details

Phone No: (

)

Fax No: (

)

Web Address (url):
Physical address
Building:

Street:

Suburb:

State:

Post Code:

Postal address (if different from physical address)
PO Box:

Suburb:

State:

Post Code:

Location type (select as appropriate)
Headquarters

National head office

Sales office/branch

Warehouse

Demo/Training centre

Retail outlet

Service centre

ABusPtnrapp FY16

Mail-order online
Regional centre

Other (please specify):_________________________________________

HPE Partner Portal Administration
Please list below the name of the person you would like to nominate as the portal administrator for the above
location. This person will most likely be in a managerial position as he/she will oversee your company’s new
users on HPE’s secure online Partner Ready Portal and be the key contact for any communications.
Last Name:
First Name:
Position Title:
E-mail address:

Sales and Marketing communications
Please list below any other employees who you would like to receive HPE sales and marketing
communications.

Last name

First Name

Position Title

E-mail Address

Partner Employee Benefits through HPE Channel Programs
From time to time HPE offers programs which may provide a benefit directly to your employees.
Please tick one of the boxes below to confirm whether your employees may participate in these programs.

Yes our employees may participate in these programs
No our employees may not participate in these programs

HPE Product Purchase Information
Please identify which HPE authorised wholesalers/distributors you currently purchase HPE products from &
enter your Reseller ID (double click in check box to select)
Distribution Central

ABusPtnrapp FY16

Reseller ID:



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Description                     : HP Registered Reseller Application
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