Note: Please review the Home Networks and Broadband Active Networks Solution Provider Channel Member Guidelines prior to starting your application.To view the Guidelines please CLICK HERE and select your region/territory.

You will need around 30 minutes to complete the application and you will not have the option to save and return. Once you have completed all required fields, and accepted the Program Terms and Conditions, please click the Submit button at the end. You will not be able to edit any information once you have submitted your application. A confirmation email will be sent to the Primary Contact email listed on the application to confirm the application was submitted successfully.

Interested in Selling

Please Indicate the Products you are interested in selling. (Multi-Select available)
*Product Interest	Cable Modems DSL Modems Cable DVB STB IP-TV STB & KreaTV Go KreaTV Software & SDK Satellite Receiver HFC CMTS & Edge QAM Video Wireless Access Bridge Video Processing Content Management Network Management Ruckus Professional Services Refurb CPE Cable Modems DSL Modems Cable DVB STB IP-TV STB & KreaTV Go KreaTV Software & SDK Satellite Receiver HFC CMTS & Edge QAM Video Wireless Access Bridge Video Processing Content Management Network Management Ruckus Professional Services Refurb CPE

Company Information

*Company Name		*Company Zip or Postcode
*Company Address		*Company Country
*Company City		*Company Telephone
*Company State/Province		*Company Website

How Did You Hear About Us?

Please Indicate how you heard about CommScope.
*Source	--None--Blog Business Associate Partner Program Direct mail/email campaign CommScope employee CommScope Partner CommScope website Online Banner Ad Press Release Trade Publication Tradeshow Website/Forum Other (please specify)
Source Other
Are you an existing Ruckus or CommScope Partner?
*Ruckus or CommScope Partner?	--None--CommScope Ruckus Both Neither

Contacts

Please provide Contact details for all Contact roles listed below. One contact can cover multiple roles and all fields are required. The application confirmation will be sent to the Primary Contact listed.
PLEASE NOTE: Contacts listed below will be the individuals provided access to the CommScope online Portal, containing all relevant content.
*Primary Contact Name		*Secondary Contact Name
*Primary Contact Job Title		*Secondary Contact Job Title
*Primary Contact Email		*Secondary Contact Email
*Primary Contact Phone		*Secondary Contact Phone

General Business Information

Last three years total revenue.
*Prior Year Revenue
Is your Company an OEM, reseller, integrator, developer, or other? (Multi-Select available)
*Account Type	Developer Distributor Integrator OEM Reseller Other, (Please Specify) Developer Distributor Integrator OEM Reseller Other, (Please Specify)
Account Type Other
Briefly describe your Company’s primary business focus.
*Primary Business Focus
Year Company established.
*Year Founded
What products does your Company currently sell?
*Product Offerings
What other vendors does your Company currently support?
*Vendors Supported
Identify your company’s geographic business coverage (from a country point of view).
*Geographic coverage	--None--EMEA APAC-China APAC-Japan APAC-ANZ APAC-Rest of Asia CALA-Mexico CALA-Brasil CALA-Rest of CALA NA-US NA-Canada
List the Vertical markets and/or industries your Company is currently servicing.
*Vertical Markets
What type of ongoing support do you provide? (Please describe)
*Support Provided
List any other information that may be pertinent.
*Misc Info
How many $ of CommScope products and Services does your Company plan to purchase next year?
*Target Revenue
What percent of the Business in the next 12 months, will CommScope contribute?
*CommScope Share %

Are you meeting Qualitative Selective and Membership Level Criteria for each product you have applied for? Please explain how you meet or plan to meet the Qualitative Selective Criteria. Please answer these questions for all products included in this application.

What is your track record and expertise with the products you are applying for? Please provide examples.
*Product Track Record
Responsiveness--Please provide information on how you plan to support your end customers. What support tool do you use? What type of support do you plan to provide: 5*7H or 7*24H or other?
*Support Plan
Please confirm you plan to install a Lab.
*Lab Installed?	--None--Yes No
Information--Please confirm you will be able to provide forecast, point of sales and inventory reports.
*Data for Analysis	--None--Yes No
Authorization training--Please explain how many people you plan to send for training (note that there is a cost associated to training).
*Planned Training

Channel Member Business Plan and Financials

Please confirm you will send your Channel Member Business Plan as an attachment via email to Channelprogram-sp@commscope.com. You can reply to the confirmation email you will receive after submitting this application.
Click here for the Business Plan template to fill out.
*Channel Member Plan?	--None--Yes No
If you believe you satisfy the Qualitative Selective Criteria for the Select or Elite Solution Provider levels, please confirm you will provide your last 2 years financials (balance sheet and income statement).
*Submit Financials	--None--Yes No

T&Cs

Please confirm your acceptance of the PartnerPRO Network T&C’s. Click here to view the Global T&Cs.
*Terms Acceptance?	--None--Yes No