software and hardware working together
ISV registration
 
All fields labeled with an asterisk must be completed.
Name: *
Address: *
City, State, ZIP: *
Phone: *
Email: *
Web Site: *
Technical Contact: *
Marketing Contact: *
Product Name(s)   Primary vertical market(s) the software addresses
1. * SRP $ * 1. *
2. SRP $ 2.
3. SRP $ 3.
4. SRP $ 4.
5. SRP $ 5.
Number of Employees:
Number In Sales Force:
Annual Revenue:
   
Channels of Distribution:
Number of Value-Added Re-sellers:
Do You Certify Scanners? Yes    No
Please list office locations outside of the U.S.
Manufacturers Supported: *
Panasonic      Fujitsu      Kodak      Canon      BBH      Other     

Sales Ratio by Vendor:
Panasonic      Fujitsu      Kodak      Canon      BBH      Other     

Sales Targeted by Category:
Work Group      Departmental      Low-Vol      Mid-Vol     High-Vol     Other     

Please describe your requirements from a Hardware Manufacturer:

Please describe your requirements from an ISV Program:

Additional Comments:

Please select a privacy option. *
YES, I would like to receive information from Panasonic about special offers, promotions and new products.
YES, I would like to receive information from Panasonic and selected affiliates about special offers, promotions and new products.
NO, I would not like to receive information from Panasonic about special offers, promotions or new products.