Become Cisco
Select Certified
  Join Azlan at our next Select Bootcamps  
 
 

Full name
Job Title
Company
Email
Account Number
Phone Number
Which date would you
like to attend? *
 2nd - 3rd February 2016 at Tech Data Basingstoke 
 9 - 10th February 2016 at TD Azlan Warrington 
      (Please fill out a separate form for each date if you plan to attend both)
Reason for attending:
 Renewal of SMB Specialisation 
 Become a new Cisco Select partner 
Please select your key
target Market
 Retail 
 Manufacturing 
 Finance 
 Technology 
 Leisure 
 Public Sector – Education 
 Public Sector – Local 
 Public Sector – Health 
 Other – please enter below 
Please select the size organisation
that are your primary target
Is Cisco your primary Go to
Market technology?
What is your primary Cisco architecture focus?
 Collaboration – Voice 
 Collaboration – Video 
 Collaboration - Voice and Video 
 Security 
 Enterprise Networking 
 Datacentre 
 Other – please enter below 
What best describes the status
of your cloud strategy?
 Strategy defined and implemented 
 Strategy defined and building/selecting capability 
 Strategy being defined and reviewing offerings 
 Reviewing Market opportunity and looking to implement cloud strategy in       (please enter timeframe) in months. 
 No plans for cloud strategy  
 
 
 

Contact us if you would like to know how Momentum
can accelerate your Cisco business!

Email: [email protected]    Call: 01256 788 475