Polycom Honors Program Application
Section 1 - Customer Information
Educational Institution:
*
End User Contact Name:
*
End User Address:
*
Country:
*
-Select-
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State/Province:
*
-Select-
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City:
*
Postal code:
*
End User Email:
*
End User Phone:
*
Section 2 - Channel Information
Reseller Name:
*
Sales Person:
*
Channel Address:
*
Country:
*
-Select-
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State/Province:
*
-Select-
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City:
*
Postal code:
*
Email:
*
Channel Phone:
*
Product Purchase Discount Worksheet
Please select Product Category
Product Category:
*
-Select-
Desktop Solutions
Any Custom Classroom Package (CP)
Media Carts/LCD
Network Systems
Firewall Solutions
Voice Products
Video Products
NEW!! Education Bundles
Please select Product
Products:
*
-Select-
Quantity:
*
Total Purchase Price:
*
Do you want to add another product to your list?
yes
No
People-On-Content was purchased. Complementary green screen desired.
I am interested in the following Honors Benefits
*
Please select "No Training Required" if none is desired
Please select "No Membership Required" if none is desired.
USDLA
LTUG
EDEN
CNIE Membership
No membership required
Interactive Video Conferencing Awareness Training
No Training required
Please Enter contact information for Membership or Training
Contact Name:
*
Phone:
*
Email:
*
Please select one option from each - Institution and Experience type
Type of institution:
*
K-12
Higher Education
Other
User Experience Type:
*
Beginner
Intermediate
Advanced
Polycom Channel Manager Contact:
Polycom Territory Manager Email:
Territory or Channel Manager Approval Signature:
Terms and Conditions
1.Channel Partner must submit a NEW purchase order to Polycom Order Management with copies of the completed Honors Application.
2.The order must be shipped from Polycom directly to a single end user location.
3.This offer is available only to Certified Polycom resellers. This offer is void where prohibited or otherwise restricted by law.
4.This offer may not be combined with any other promotional offer except the *FIRST program and Polycom reserves the right to cancel or modify this program at any time.
5.Only educational entities including colleges, technical schools, universities, primary & secondary schools, medical schools, libraries, and non-profit entities who provide education/training qualify. Sales to non educational entities, Polycom Channel Partners and/or employees or family members do not qualify.
6.Shipping costs of drop shipment are the responsibility of the end user.
7.No exceptions to this program will be allowed. Polycom has the right to deny all orders that do not meet the criteria outlined in this document.
8.Program commenced June 2005 and shall continue until terminated by Polycom.
9.See program overview for complete details.
(UK Exception)
