Business Partner Application
Required Fields*
company*
first name*
last name*

title

street address*
street address 2
city*
state / province
zip / postal code

country*
phone number*
mobile / cell phone number
fax number

email*
company website

what market(s) does your company serve?
what geographical area(s) does your company serve?
please describe your business (you may include links, brochures, company profiles, etc.)
what Juniper Systems products are you interested in?
please describe your experience with Juniper Systems products.
please describe your experience selling other rugged hardware.
how do our products meet your organization’s needs?
please indicate the number of units your company expects to sell annually for the following products:
Enter a single integer (whole) value for each product. Zero or blank values are acceptable.
Archer Field PC
Allegro MX Field PC
TK6000 Field PC
Mesa Rugged Notepad
please list the names of those you have had contact with at Juniper Systems:
why does your organization want to become a Juniper Systems Business Partner?
Application Guidelines