Velocity Technology and ISV Program Membership Form (Input to all fields is required unless otherwise noted.) Velocity Technology and ISV Program
1. Person Completing Application
First Name:
Last Name:
Title:
Legal/Parent Company Name:
Headquarters Address 1:
Headquarters Address 2:
Headquarters Address 3:
City:
Country:
State or Province:
ZIP/Postal:
Phone Number:
Email Address:
2. Company Officers
Check if same as applicant
Chief Executive Officer(or equivalent)
First Name:
Last Name:
Chief Technology Officer (or equivalent)
First Name:
Last Name:
Vice President Engineering (or equivalent)
First Name:
Last Name:
Vice President Marketing (or equivalent)
First Name:
Last Name:
Vice President Sales (or equivalent)
First Name:
Last Name:
3.Company Contact Information
Check if same as applicant
Partnership/Alliance
First Name:
Last Name:
Title:
Address 1:
Address 2:
Address 3:
City:
Country:
State or Province:
ZIP/Postal:
Phone Number:
Email Address:
Technical/Development contact
First Name:
Last Name:
Title:
Address 1:
Address 2:
Address 3:
City:
Country:
State or Province:
ZIP/Postal:
Phone Number:
Email Address:
4. Company Background
Web Site Address:
Year Company was founded:
Number of full-time employees:
Publicly held? YesNo
If yes, what is the stock symbol?
Select which profile best describes your company:
Describe the primary businesses of your company: (1500 characters maximum)
5. Sales and Markets
What was the total revenue of your company in Millions of US Dollars during the last 3 years? (Estimate if necessary)
Year Revenue
2005
2006
2007
How are your applications sold? List approximate % for each category. Must total 100%.
% Direct % OEM
% Reseller % Other
List major Resellers and OEM Partners or answer None:
List major Technology Partners or answer None:
What industries do your products primarily target? Select one or more from the list:
Financial services Manufacturing
Education Utilities
Government Communications, Media, & Entertainment
Healthcare Retail
Services Transportation
Other
6. Customer Base
List some of your key customers and check those who are using EMC products today or specify none, if applicable: (At least one entry is required.)
7. Referred by
Please provide the name of your most current EMC contact.
8. Please provide a brief paragraph summarizing your goals for becoming an EMC Technology Partner:(Maximum of 1500 characters.)
9. Have you had any previous experience with EMC? If yes, please describe it, as well as providing any EMC contacts you have: (Maximum of 1500 characters.)
10. Application Information
A manager directing the technical initiative, such as a development manager or architect within the software engineering department, should provide the information requested in this section.
Name of your Application:
Description of Your Application: (1500 Maximum characters)
On what Operating Systems will your application be supported?
HP UX IBM AIX
IBM MVS/ZOS Linux
Sun Solaris Microsoft Windows NT/2000
IRIX 6.5
List the primary competitors for your application or None. (Please be sure to complete the fields in pairs. If you enter None, be sure it is entered in both fields of the pair.)
Product Name 1:
Company 1:
Product Name 2:
Company 2:
Product Name 3:
Company 3:
Is your application currently integrated with products from any other storage vendors? YesNo
If yes, list the storage vendors
Vendor 1:
Vendor 2:
Vendor 3:
11. Solution Benefits
Provide a description of the technical and business benefits of the qualification or integration to end customers, to you, and to EMC. : (Maximum of 1500 characters.)
12. Sales Opportunities
How many of your customers per quarter are asking for a qualified or integrated solution with EMC?
0-23-56 or more
13. Developer Support Center Contacts
This information provides for a rapid escalation procedure
a. Primary Support Center Location
Address 1:
Address 2:
Address 3:
City:
Country:
State or Province:
ZIP/Postal:
Phone Number:
Email Address:
Hours of Operation: 24x7x365M-F/8am-5pmOther:
Time Zone: Regionally BasedFollow the Sun
b. Support Center Business Contact
First Name:
Last Name:
Title:
Phone Number:
Email Address:
c. Web Support URLs (if applicable)
Corporate Web Site:
Support Web Site:
Access Codes:
14. Developer Support Process and Escalation Contacts
a. After Hours Support Process
Phone Number:
Email Address:
Contact Name
First Name:
Last Name:
Title:
Describe procedure: (1500 characters maximum)
b. Primary Escalation Contact (Contact for severity 1 issues when escalation required)
First Name:
Last Name:
Title:
Phone Number:
Email Address:
c. Secondary Escalation Contact
First Name:
Last Name:
Title:
Phone Number:
Email Address:
Acceptance of License Terms and Conditions
You've already stated you're authorized to accept the license terms and conditions on your company's behalf. After reviewing the license terms and conditions, indicate your acceptance by clicking "I Accept". If you are joining a Specialty program for the first time, and have not already joined the Base program, please be advised that as part of the Specialty membership agreement you will also be joined into the Base program. Click here to preview the Base program membership agreement. By clicking "I Accept" to the Specialty membership agreement you will also be accepting the terms and conditions of the Base membership agreement. If you do not wish to accept the license terms and conditions at this time and click "I Do Not Accept" please be aware your membership form will not be saved. If you return you will be required to complete a new membership form. A message confirming your selection with a copy of the information you entered will be sent to the email address you provided.
I Accept I Do Not Accept