Resell Deal Registration Form End client information Company name The following information should be filled out with this end client’s legal headquarters information Business Email Address City Postal code Country Please select a country *USAAbu DhabiAdmiralty IslandsAfghanistanAjmanAl AinAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina-FasoBurundiCambodiaCameroonCanadaCape VerdeCaroline IslandsCayman IslandsCentral African RepChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCyprusCzech RepublicDemocratic Republic of CongoDenmarkDjiboutiDominicaDominican RepublicDubaiEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesFujairahGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard & Mc Donald IslandsHondurasHong Kong ChinaHungaryIcelandIndiaIndonesiaIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKampucheaKazakhstanKenyaKirghiziaKiribatiKuwaitLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau ChinaMacedoniaMadagascar/MalagasyMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia Fed StMidway IslandMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRas Al KhaimahRepublic of KoreaRepublic of MontenegroRepublic of SerbiaReunion IslandRomaniaRwandaSamoa AmericanSamoa WesternSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSharjahSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth Sandwich IslandsSpainSri LankaSt HelenaSt Kitts-NevisSt LuciaSt PierreSt VincentSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandTaiwan ChinaTajikstanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkish Rep. of N. CyprusTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUmm Al QaiwainUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands UKWake IslandWallis & Futuna IslandWestern SaharaYemen Arab RepublicYemen SoutZambiaZimbabwe US state/Canadian province US state/Canadian province (if applicable): *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Number of employees Current financial system Current financial system *ACCPACAderant (CMS)AgressoAnswers on DemandBaanBannBannerCedarCMICCodaCOINSDatatelDataworksDeltekEliteEllipseEpicor (formerly Platinum)Expandable SoftwareFinanceOneGEACGreat PlainsHyperionIBMInfiniumInforIn-HouseIntacctIntegraIntuit QuickBooks-DesktopIntuit QuickBooks-OnlineIntuit Real Estate (MRI)JD EdwardsJenzabarKeystoneLawsonMacolaMAS 500Mass 90MBS - Great PlainsMcKessonMicrosoft DynamicsMicrosoft Office AccountingNavisionNetSuiteOracleOtherPeachtreePeopleSoftQAD/MFG ProSageSAPSolomonSun FinancialsWorkdayYardi Buying horizon Buying horizon *< 3 months3-5 months6 months – one year> one year Partner firm representative information First name Last name Phone Email Country Please select a country *USAAbu DhabiAdmiralty IslandsAfghanistanAjmanAl AinAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina-FasoBurundiCambodiaCameroonCanadaCape VerdeCaroline IslandsCayman IslandsCentral African RepChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCyprusCzech RepublicDemocratic Republic of CongoDenmarkDjiboutiDominicaDominican RepublicDubaiEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesFujairahGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard & Mc Donald IslandsHondurasHong Kong ChinaHungaryIcelandIndiaIndonesiaIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKampucheaKazakhstanKenyaKirghiziaKiribatiKuwaitLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau ChinaMacedoniaMadagascar/MalagasyMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia Fed StMidway IslandMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRas Al KhaimahRepublic of KoreaRepublic of MontenegroRepublic of SerbiaReunion IslandRomaniaRwandaSamoa AmericanSamoa WesternSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSharjahSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth Sandwich IslandsSpainSri LankaSt HelenaSt Kitts-NevisSt LuciaSt PierreSt VincentSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandTaiwan ChinaTajikstanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkish Rep. of N. CyprusTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUmm Al QaiwainUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands UKWake IslandWallis & Futuna IslandWestern SaharaYemen Arab RepublicYemen SoutZambiaZimbabwe Current Expense Reporting Solution Current Invoice Solution Expense reports / month Invoices / month Comments Which Concur core products does your client need? SAP Concur Expense SAP Concur Invoice C_Legal_Opt_In1 c_legal_opt_in_tw1 是 否 c_legal_opt_in_tw2 是 否 Entity_Eu