Partner Application Form

Partnering with Actelis provides the opportunity to receive numerous benefits in the areas of technical and support services, education, sales and marketing. Our Partner Program provides the right level of partnership designed to fit your business needs.

Please complete the Actelis Networks Partnership Application & Profile for by clicking the link below. This will open a Word document for completion, including your authorized signature. We will need a signed copy of the form faxed back to us. Someone from our Channel Partners Programs group will be in contact with you following the review of the application.

Click Here to open the Application Form (Word document)*

Questions regarding partnerships or the form:
Contact Channel Partners Programs: (866) 228-3547
Email Channel Partners Programs: channeladmin@actelis.com
Fax number for returning the form: (510) 545-1075

*All information submitted is CONFIDENTIAL to Actelis only. Normal turnaround for Partnership approvals is 2 weeks or less.

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