Become an Agent Want to know more? Sign up to be an Agent for Tech Minded. Simply fill out the form below, and we'll get you more information. This field is hidden when viewing the formAssoc IDThis is an internally used ID. It won't be known by the user, and needs to be filled in post-contract, before creating the user.Name* First Last Company NameTitleWhat is your title?Username*What would you like your login name to be?Email* Are you looking to become a Tech Minded Agent?To speed the process along, by checking "Yes", you are requesting we reach out to you to answer any questions, as well as to create an Agent agreement (for which you have no obligations to until you sign). The information that you provide below will allow us to quickly generate an Agent agreement for you to digitally sign. This agreement gives us the ability for you to tap into all the channels we have (and most of the agreement terms are there so that you can be under our provider agreements). Yes No Member Type*This is the type of Tech Minded member you are requesting to be.Agents and NetworkInformation We Need to ProceedAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone: WorkPhone: MobilePhone: Main OfficePhone: FaxWebsite Help Us Know YouThe next few questions help us to know a bit about you and what you do -- it speeds the process along.How would you describe yourself (Choose all that apply)* I am interested in business technologies for my organization to use I'm part of a consulting firm with multiple consultants serving clients I am a consultant serving clients I'm a IT Professional supporting the users in our organization How would you describe the clients you serve or are targeting? Select All Micro (under 5 users) Small (5-10 users) Small (11-25 users) Small (26-50 users) Small (51-100 users) Medium (101-300 users) Medium (301-500 users) Larger (501-2500 users) Larger (2500+ users) What types of technologies are you interested in? (Check all that apply) Select All Telecommuting Products Productivity Software (Office 365 / G Suite) Cloud Services Telecom (VoIP, UCASS, Softphones, etc…) Sharing Large Files Digital Safe Digital Signatures Video Conferencing SMS for Group Texts Productivity Monitoring Optimizing Cloud Connections Internet Connectivity Backup Connectivity This field is hidden when viewing the formWhat type of organization are you? Business Non-Profit Schools / EDU Government Churches, Synagogues, Mosques, etc... Other Additional NotesSocial Media for You/Your Organization What is your twitter account?What is your Facebook account?What is your LinkedIn page?What is your Instagram page?What is your MacAdmins Slack account?CAPTCHA
