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Become a Business Partner

Interested companies are encouraged to apply to become a Mediatrix Business Partner. Mediatrix works with innovative telecommunications equipment vendors and software development companies that are committed to delivering best-of-breed complementary products.

Business Partner Application Form

Please complete and submit the application form to begin the process to be considered as a Mediatrix Business Partner.

A Mediatrix representative will review your application form and contact you with further information.

Please Note: Fields with an asterisk ( * ) are required fields.

Company Headquarter Information
*Company Name:
*Address 1:
Address 2:
*City:
State / Province:
*Country:
*Zip / Postal Code:
*Main Telephone:
Main Fax Number:
*Web Site URL:
Primary Contact Information
*Salutation:
*First Name:
*Last Name:
*Title:
*Direct Phone Number:
*Fax Number:
*Email: Please provide a valid e-mail address.
Business Information
How were you introduced to Mediatrix? Mediatrix Sales Representative Magazine advertisement Magazine editorial Mediatrix Business or Channel Partner (specify) Web Search (specify) Trade Directory (specify) Other (specify)
*What is your primary business activity?
*Which Mediatrix products are you most interested in?
*Please describe your primary or intended application:
*What signaling protocol is your company currently supporting?
*Does your company provide dial tone? Yes No
If yes, please specify your type of business: (e.g. are you a CLEC, ILEC, LEC, Other?)
Please note that submission of this form neither constitutes an application by your company nor an offer by Mediatrix Telecom to establish a relationship. A Mediatrix representative will contact you with further information regarding your application. Thank you for your interest in Mediatrix.