::HOW TO BECOME PARTNER::

"THE PHILIPPINE'S LEADING PROVIDER OF HOSPITAL INFORMATION SYSTEM"

			PARTNERS
	Network Partnership Program Overview Welcome to the Comlogik Network Partner Program. Our goal is to provide you with the opportunity to grow and profit while serving the information management needs of healthcare providers. To help you achieve this we offer an extensive support program, including marketing materials and strategies and thorough industry and product training. We are committed to our partnership with you and demonstrate this with ongoing product improvement and Partner education. Your success is our success. Kindly fill the information below to know more about our Partnership program:








	How to become a Partner

* Company:
* Contact Name:
Contact Title:
* Shipping Address:
Number:
* City:
* Province / State:
* Zip:
Country:
* E-mail address:
Website:
* Telephone:	( ) -
Fax:	( ) -
Best time to contact:
* Type of company:	If "Other", please specify:
Number of locations:
Number of physicians:
Number of system users:
Type of Operating System Used:
How soon do you plan to purchase?
* How did you hear about ComLogik?	Direct Mail E-mail Convention Publication
	Internet Search
	Fax	Fax Code:
	Referral	Name:
	Other	Please Specify:
When did you hear about ComLogik?
Additional comments or questions:
* Please choose one of the following: Please send an information package, including a demo CD, and have a representative contact me. Please send an information package, including a demo. Don't send an information package.