Thank you for your interest in the DoMore® Partner Program. Please complete the following Partner Application form and we will connect with you to discuss the program and its benefits. First Name* Last Name* Job Title Company Name* Address (Line 1)* Address (Line 2) City / Province* Zip Code* State* —Please choose an option—Outside of the USAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Country Phone Number* Mobile Email* Website* Number of years in Business* Number of All Staff within your organization* Number of Sales Staff within your organization* Number of Customer Service Staff within your organization* How many Clients do you currently serve?* What is your Client's average Gross Annual Income —Please choose an option—Up to $ 100 thousandUp to $ 500 thousandUp to $ 1 MillionUp to $ 2 MillionUp to $ 3 MillionUp to $ 4 MillionUp to $ 5 MillionUp to $ 10 MillionUp to $ 20 MillionUp to $ 25 MillionUp to $ 50 MillionOver $ 50 Million Your target Geographic Market Your target Industries Your current Certifications & Specializations Please indicate the services that you plan to offer (check all that apply): Consult on how DoMore best fits business needsInstallation & configuration servicesOn-site and/or off-site training servicesData conversion servicesReport creation and customization servicesCustom programming servicesPre-install DoMore as a custom turnkey solutionServers and Infrastructure SupportQuickBooks Services & Support Comments