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3S Group Partner Application Form

Please answer all the following questions.

INCOMPLETE FORMS CAN NOT BE PROCESSED

      Name:
      Title:
      Company Name:
      Division/Mailstop:
      Company Street Address:
  City:
State, Province or Territory:
      Zip/Postal Code:
Country (if not USA):
Phone: (numbers only) ()--
Fax: (numbers only) ()--
  E-mail Address:
Please indicate your industry or branch of government below.

PRIVATE COMPANIES
Sys Integrator/Developer, VAR
Computer System OEM, Software, Related Equipment
Retailer/Dealer/Distributor
Computer / IT Consultant
Other (Please specify)


FEDERAL EXECUTIVE DEPARTMENTS
Office of the President
Office of Mgmt & Budget
Dept of Agriculture
Dept of Commerce/NIST
Dept of Education
Dept of Energy
Army Corps of Engineers
Dept of HHS
Dept of HUD
Dept of Interior
Dept of Justice
Dept of Labor
Dept of State
Dept of Transportation
FAA
Veterans Affairs
Dept of Treasury
DEPARTMENT OF DEFENSE
Air Force
Army
Navy
All other DOD (includes DISA)

FEDERAL LEGISLATIVE/JUDICIARY
Legislative
Judiciary

FEDERAL INDEPENDENT AGENCIES
GSA
NASA
EPA
TVA
SSA
USPS
NSF
National Security Related Org
FEMA

OTHER GOVERNMENT
Other Federal (Please specify)

State Government
County Government
Municipal Government
Other Government


Which category best describes your job function?
If military, select closest equivalent below.

Exec Mgmt/Sr. Mgmt/Company/Division/Agency/Dept Mgmt
IT/IS/MIS/DP/Network/Sys Mgmt
Data Comm/Telecomm Mgmt
Programs/Project Mgmt
Sys Analysis/Programming, Software/Applications Development
Sys Engineering/Integration/Technical Services
Admin/Operations Mgmt
Procurement/Contracting Mgmt
Personnel/Training Mgmt
Sales/Marketing Mgmt
Legal/Legislative
Consulting
R & D
Other (Please specify)


3S Group Inc

125 Church St, NE • Suite 204
Vienna, VA 22180

Ph. 703.281.5015
Fx. 703.281.7816

EMail: Info@3SGroup.com



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