Solution Provider Registration
Please provide the following company contact information and background as the first steps of your application to become an AT&T Solution Provider. The information you provide in this form is an important part of the qualification process. It is critical all information is entered, including contact information, so that we may get in touch with you to discuss your potential to become an Alliance Program Solution Provider.

Thank you for your interest in AT&T.
Contact Information
Company Name
Company DBA Name
First Name
Last Name
Job Title
Phone Number
Mobile Number
Corporate Address
Address 1
Address 2
Phone Number
Company Information
Brief Description of Business
Characters remaining: 5000
Legal Form of Ownership
Year Established
Dun & Bradstreet #
Web Address
Business / Sales Model (add all that apply)

Geographic Coverage Area (add all that apply)

Does This Firm Sell the Following? (AT&T Netbond Partner) (add all that apply)

Key AT&T Solutions This Firm Sells (add all that apply)

Other Solutions This Firm Sells (add all that apply)

Industry Specialization (add all that apply)

Target Markets (add all that apply)

In which of the following programs is your company an authorized participant? (add all that apply)

Industry Certifications (add all that apply)

What is your company's Annual Revenue?
Application for Agency - Additional Information
How did you hear about the Alliance Channel Program?
What is your company's plan to include AT&T's Products and Services?
Characters remaining: 1000
Is your company able to perform any telemarketing type of activities?
Has the Primary contact or any employees of your firm been employed by AT&T within the past three months?
Has the Primary contact or any employees of your firm been part of the AT&T Alliance program in the past?
If you said yes to having a prior agency relationship with AT&T in the past, please explain (i.e. master agent, sub-agent, associate SP, 1099 employee, etc.), and share the company name.
Characters remaining: 500
Are you currently participating in the AT&T Authorized Dealer Program?
If you said yes to participating in the AT&T Authorized Dealer Program, please explain your role in that Program.
Characters remaining: 500
Number of Employees as Back Office Support
Number of Employees as Inside Sellers
Number of Employees as Outside Sales
Number of Employees as Technical Support Staff
Number of Employees as Network Engineers
Characters remaining: 1000
Position Statement (Read Carefully)
SBC Global Solutions, Inc. d/b/a AT&T Global Solutions’ affiliated companies (hereinafter collectively "AT&T") do business with many contractors and suppliers. It is a fundamental policy of AT&T that such dealings shall be conducted on a fair and non-discriminatory basis free from improper influences, so all participating contractors and suppliers may be considered on the basis of the quality and overall cost of their product or service.
AT&T’s policy is to seek out and obtain technically suitable products and services at the lowest overall cost. Accordingly AT&T will not recognize any oral agreement: any conversations with AT&T's employees or representatives shall not be construed to imply a commitment or obligation on behalf of AT&T. Any information disclosed or made known to AT&T shall be deemed as public and nonproprietary, with the exception of financial information. Information shall not be received in confidence, unless a prior written agreement authorizing such exchange of information has been executed by an authorized representative of AT&T.
AT&T is committed to doing business with contractors and suppliers in an atmosphere keeping with the highest standards of business ethics. Therefore, it is AT&T's policy that our employees shall not accept from customers; suppliers of property, goods, or services; or from other persons, any gifts, benefits, or unusual hospitality that may in any way tend to influence or have the appearance of influencing them in the performance of their jobs.
Those employees of AT&T authorized to make purchases or negotiate contracts are aware of this policy, and your cooperation is solicited in order to forestall any embarrassing situations.
Have you read and agree to the terms listed in the “Position Statement”
The undersigned has read and agrees to comply with the above Position Statement and is submitting the information contained herein with the understanding that it will be used to assist in determining the qualifications of this organization to perform miscellaneous work for AT&T Corporation, its subsidiaries and affiliated companies (collectively called " AT&T"), and further guarantees the truth and accuracy of all statements made herein. AT&T is authorized to make use of the statements and information furnished herein and otherwise made available from any source whatsoever. This may include criminal background and civil court case investigations of the principles of the company. The undersigned will accept AT&T's determination of qualifications without prejudice. Any bank, subcontractor, supplier or any other person, firms, corporations or agencies with whom the undersigned have done business or whom have extended any credit to the undersigned are hereby authorized to furnish AT&T with information that AT&T requests concerning the undersigned's standing with any of them. The undersigned hereby releases AT&T, and those providing information to AT&T pursuant to this authorization, from all actions, claims and/or liabilities of any kind arising from the provision or use of information about the undersigned, and the undersigned hereby waives any rights the undersigned may have to pursue such actions and/or claims.
Have you read and agree to the terms listed in the “Release”