Please complete the following application and click submit when complete. A NewWave Technologies sales representative will contact you to review. If you have any questions please email Anthony Martin at amartin@NewWaveTech.com.

Company Info: Company Name: Position: Contact Name: e-mail address: Phone:             Company Address: Street: City: State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code: Phone Number: Fax: Business Type --please select-- Alliance (Technology Partner) Cloud Service Provider Consultant Distributor DMR Federal Managed Service Provider Solution Provider (VAR) Systems Integrator Partner Status Current Nexsan Partner   Current Imation Partner   Not a Partner   # of Sales Reps: # of System Engineers: Annual Revenue % (to equal 100%):   Storage Hardware % Non-Storage Hardware % Software % Services % Other %     Technology Solutions Provided Storage Business Applications IAAS SAAS Networking Servers Virtualization   Customer % (to equal 100%):   SMB % Midmarket % Enterprise % Other % Professional Services Installation Pre-sales Phone Support None Onsite Support