Partners

Nuance Imaging Solutions Partner Program

Enrollment information

Please complete the information below. The application is 3 pages long. Fields marked by an asterisk (*) are mandatory. You will have the opportunity to print your application to keep for your records once you have submitted the information. If you have any questions please e-mail partneradmin@nuance.com. Thank you.

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Applicant site information

*Company name:
*Company website:
*Address:
*City:
*State/Province:
*Country:
*Zip/Postal Code:
*Main telephone:  -  - 
*Fax:  -  - 
*How did you learn of Nuance?

Key Contacts

Partner program contact:
(Employee who will serve as main point of contact)
*Name:
*Title:
*Telephone:  -  - 
*Fax:  -  - 
*Email address:
President/Owner:
Name:
Title:
Telephone:  -  - 
Fax:  -  - 
Email address:
Vice President of Sales/Sales Manager:
Name:
Title:
Telephone:  -  - 
Fax:  -  - 
Email address:
Primary Sales/Marketing:
Name:
Title:
Telephone:  -  - 
Fax:  -  - 
Email address: