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Technology Alliance : Alliance Application Form

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Company Information

*Organization Name

Web Site

Address 1

Address 2

City

State/Province

Postal Code

Country

Size

Revenue


What category fits your company? Software Developer Manufacturer

Primary markets served? (check all that apply)

Corporate Corrections Education Financial Government
Health Care IT Loyalty Mass Transit Retail
Security Telecom Travel/Entertainment Other

Products

Geographical Coverage

Is your company a Fargo distribution partner? Yes No

Have you worked with Fargo distribution partners in the past? Yes No

If yes, which one(s)?

What Fargo products are you familiar with?

What types of e-cards does your company have application development experience with? (check all that apply)

MIFARE Hitag HID
ISO contact smart cards ISO contactless smart cards Combi smart cards
Twin cards Proximity cards Vicinity cards
Other    

Areas of interest:

Questions for Fargo:

Contact Information

*First name

*Last name

Title

Telephone

Fax

*E-mail address

Information About Your Web Site

Will you provide a link to Fargo's web site? Yes No

URL for your Web site:

A paragraph about your company with emphasis on your e-card business:

A paragraph about the e-card products and services your company produces that are available to Fargo distribution partners through the Technology Alliance: