Olea Partner Application Form

Partner Application Form
Name *

First Name Last Name
Job Title *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Company *
Number of Employees *
Company Website *
Company Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Annual Revenue
Industry Focus (check all boxes that apply) *

Healthcare Retail Hospitality Banking/Finance Casino Outdoor Theme Parks Movie/Cinema Restaurants
Have you sold Olea kiosks before? *
What partner type are you interested in? *

Channel Partner Technology Partner Service Partner ISV Partner Distributor Partner
Additional Comments
Should be Empty: