Partner
  Programs

Veraterm Technology Partner Program Application

Application

First Name
Last Name
Title
Company
		Street addresses only; no PO boxes, please:
Address 1
Address 2
Address 3
City
State/Province
Postal Code
Country
		Use format: +1 856 222-3344:
Telephone
Fax
Email
		Which version(s) of Microsoft Office do you use/sell/support?
MS Office		Office XP(2002)   Office 2003
		For ACT! Certified Consultants and Resellers: Which version(s) of ACT! do you use/sell/support?
ACT!		4.0    2000    6.0    2005
		Please indicate other application(s) or database(s) that you would like to access with the Veraterm System:
Database  Applications
		Any additional questions or comments can be entered here:
Questions  or Comments
		The following questions pertain to Veraterm Development Activity. Skip this section if you do are not considering any such development.
		Which aspects of Veraterm development are you interested in?
Development  Activity		Integration: Configuration, Installation, Training Components: Developing Veraterm extensions for internal/consultant use Solutions: Developing Veraterm extensions for resale
		Which development environments will you be using (if any)?
Language		VB6     C++     .Net (VB/C#)     Other:
		Which Veraterm components are you interested in developing (if any)?
Components		Action Items Connectors Add-Ins User Interfaces Term Recognizers Data Atlases
		Target market segments:
Market
		What problem/need will Veraterm solutions address for your users?
Solutions
The information I have provided above is true and accurate.  Any information that I receive from Data Management Associates (DMA) is to be considered confidential.  I understand that I will be asked to sign a Partner Agreement and possibly a Non-Disclosure Agreement.   I understand that providing the above information in no way obligates DMA.