Transmedianet TM
	PARTNER FORM

Transmedianet Partner Form All fields marked with an * are required fields  Individual Information Your Name * Mailing Address City State Zip Code Country Telephone Number * Fax Number Email *  Business Information Business Name * Business Title * Business Telephone Number * Business Fax Number Business Email * Business Category Business Products Business Services Business Markets Business Ecommerce Business Competitors   Business Websites Website Name #1 * Website #1 Url (http://) * Website Name #2 * Website #2 Url (http://) * Website Name #3 Website #3 Url (http://) Questionnaire Internet credit card clearance and merchant account processing required ? yes no Internet order form processing required ? yes no Internet email addresses and account processing required ? yes no Which TMN website development program are you most interested in for your business organization ? express page starter page starter site standard site super site mega site none of the above Estimate the total amount of webpages you will need for your partner/reseller plan ? 10 webpages 10 - 50 webpages 50 - 100 webpages 100 - 200 webpages 200 - 400 webpages none of the above Estimate the total amount of space in megabytes that you will need for your partner/reseller plan ? 1 - 5 megabytes 10 - 30 megabytes 30 - 50 megabytes 50 - 100 megabytes none of the above Estimate the amount of image scanning required for your partner/reseller plan ? 5 images 5 - 10 images 10 - 20 images 20 - 40 images none of the above Estimate the amount of original custom designed graphics / logos required for your partner/reseller plan ? 5 custom graphic/logos 5 - 10 custom graphics/logos 10 - 20 custom graphics/logos 20 - 40 custom graphics/logos none of the above Graphic animation's and movie clips required ? yes no CGI programming and custom java scripts required ? yes no Website promotion/marketing and internet consulting required ? yes no Internet Domain name and Search engine registration required ? yes no Describe in detail the internet Eservices you will need for your business organization Additional information/questions   Form Submission Simply click on the submit button and this confidential partner form will go to directly to our TMN Internet Team for review. You will be contacted within 48 hours by telephone or email processing. Thank you for completing our TMN partner form and member registration service with Transmedianet Inc. Your submission will be processed securely and promptly. Welcome to the TMN Team. Your leading integration internet solutions provider for the next century. Please email us if you have any problems and inquiries about your submitted partner form. Please check your email inbox for your TMN confirmation and detailed information about your account. Transmedianet