New Provider Exchange Partner Inquiry

Thank you for reaching out to Zoom. Our unprecedented success is not sustainable without your help so we are excited at the opportunity to partner with you. Please fill out this form to be evaluated for Zoom Phone's Provider Exchange Program as an aggregated SIP trunk peering provider.

Company Name

Headquarters Region

Company Street Address

City

Zip Code/Postal Code

If there is not a Zip/Postal Code in your region, please enter 00000.

Country

Website

Year Founded

# of Employees

# of Sales Personnel

# of Sales Engineers

# of Technical Support Staff

Annual Revenue (USD$)

Please list your top market segments

Please tell us which collobration services you provide today

Do you plan to sell into US Public Sector (Federal, State, Local or Education)?

Primary Contact Information

Primary Contact - First Name

Primary Contact - Last Name

Primary Contact - Designation/Title

Primary Contact - Email Address

**Only Company Alias Email Addresses will be accepted (ie. NO gmail, yahoo, etc)**

Primary Contact - Phone Number

Primary Contact - Country

Primary Contact is Due Diligence Contact?

Company Due Diligence Questionnaire

Does your Company have an existing relationship with Zoom?

Is your Company a business organization or an individual person?

Is your Company (1) affiliated with a Government or Government Official, or (2) partially or wholly owned or operated by a Government or Government Official?

Will your Company or any of its employees have any interactions with or sell to Governments or Government Officials? (For purposes of this form, the following definitions apply: Government: Any local, state or national government department, ministry, agency, organization, government-owned or controlled company, royal family, or public international organization. Government Official: Any director, officer or employee of a Government or anyone else acting on the Government’s behalf (including third-party consultants or agents), member of a royal family, elected official (former or current), candidate for public office, political party official, or political party itself.)

Will your Company use any other service provider as part of the proposed business relationship with Zoom? (Examples could include a consultant, agent etc.)

Please describe the role of the service provider as part of the anticipated engagement (examples could include a consultant, agent, etc.).

To your knowledge, has your Company, or any of its present or former principals, been suspended or barred from doing business, arrested, charged with any legal violation, or subject to any allegation (in the press, an investigation, or otherwise) of improper business conduct, including fraud, coercion, bribery, collusion, etc.?

Why are you planning to engage in business with Zoom? Have you been in communication with any Zoom employee about a potential business relationship with Zoom?

Did a Zoom employee, Zoom partner, or any other person or entity recommend that you apply for this relationship? For example, were you referred to Zoom by a Government Official, another Zoom employee, or Business Partner?

By checking this box, I confirm that information provided in this form is accurate to the best of my knowledge and have no reason to believe the proposed engagement will result in a violation of applicable laws or Zoom policy.

Submitter Information

Submitted By - Name

Submitted By - Title

Submitted By - Country

Submitted By - Email

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