Galaxy Partner Application

LEGAL COMPANY INFORMATION:

Company Name

Owner name

Contact name

Contact email address

Street address

City

Prov/State

Country

Postal/ZIP Code

Phone

Fax

TECHNICAL KNOWLEDGE:

How would you rate your capabilities? (On a scale 1-10, 10 being expert. Add comments).

Computer Knowledge (hardware)

Computer Knowledge (software)

Networking Hardware & Software

Wireless/WISP

Satellite Installation

VoIP

Are you associated with any Galaxy Broadband reseller?

Comments

INDUSTRY EXPERIENCE:

(To be completed by Installer applicants only.)

Do you currently sell Internet Services (VSAT)?

Yes

No

Do you have a Certified Installer?

Yes

No

Do you sell/provide any Managed Services?

Yes

No

Why would you like to become a Galaxy Certified Installer?

I certify that the above information is correct and I accept the Terms and Conditions of the Galaxy Broadband Dealer Program as outlined.

Yes

No

Authorized Representative

CAPTCHA

Start Over

Most Accessed

Get in Touch

Offices in Mississauga & Edmonton.

Featured Content

Featured Content

Featured Content

Featured Content

Galaxy Partner Application

LEGAL COMPANY INFORMATION:

TECHNICAL KNOWLEDGE:

INDUSTRY EXPERIENCE: