Partner Application

“We know the Everbridge notification system is reliable and that provides an immense amount of reassurance during a crisis.”

Dale DeHart
City of Camarillo Disaster Assistance Response Team

Were you prepared or caught off guard when the World Health Organization (WHO) declared H1N1 2009 a stage 6 pandemic? Join pandemic communication expert Dr. Robert Chandler to discuss the public and private response.

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First Name*:	Last Name*:
Organization*:	Title:
Country*:	State/Province:
Phone*:	Email*:
Annual Revenue:	Employees*:
Products and services currently provided by your company*:
Product 1:	% of Revenue 1: %
Product 2:	% of Revenue 2: %
Product 3:	% of Revenue 3: %
Product 4:	% of Revenue 4: %
Product 5:	% of Revenue 5: %
Geographic area served by your company*:	Which partner level are you interested in?*:
Industries served by your company*:
Business Services Education Consumer Services Energy/Utilities Financial Services Food Government - Federal Government - State and Local Health Care Law Enforcement Legal Services	Manufacturing Media Military Not For Profit Property Management Real Estate Staffing Services Technology Telecommunications Transportation Services
No. of Clients*:	Clients interested in mass notification: %
Key contact titles with whom you work:
Other reseller/partner programs in which you are a member*:
How many employees are you willing to certify to sell the Everbridge solution?:
Why do you want to add mass notification services to your product portfolio?*:
Yes, I wish to receive periodic emails containing information relating to mass notification.
Visual Verification Code*:

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Partner Application