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VENDOR PRE-QUALIFICATION FORM

* Please be advised that all Vendor information provided in the Climb Channel Solutions Pre-Qualification Document is considered PROPRIETARY and CONFIDENTIAL by Climb Channel Solutions and will be considered immediately under the aegis of a Mutual Non-Disclosure Agreement between the Vendor providing the information and Climb Channel Solutions.

"*" indicates required fields

Section 1: Company Information

Address*
MM slash DD slash YYYY
Main Contact Information

Section 2: Channel Profile

Section 3: Product Offering

Section 4: Product Operations

How are your products delivered?

Section 5: Distribution Operations

Section 6: Marketing Plans

What programs are you running or planning to run to build brand awareness and primary customer demand and to recruit and support channel partners?*

Section 7: Application Submission

This field is for validation purposes and should be left unchanged.