Together Commerce Alliance Software Partner and Partner Plus Application Your company information Company name Company address Customer country Company web site Contact name Contact email Contact phone Your solution information Solution name Solution description (minimum of 150 words) Solution version number Solution web site URL Toshiba platform information List the Toshiba point-of-sale hardware platforms that run your solution List any Toshiba software solutions integrated with your solution List the name of any customers who currently have your solution installed on a Toshiba hardware or software platform. (This client list is for the purposes of this submission only and will not be contacted.) Stop here for Software Partner Application. For Software Partner Plus, continue to next section. Software Partner Plus application A verified Business Partner solution is a two step process that can earn you up to 12 points in the Toshiba Commerce Alliance Partner Program. It is simply verification that your solution is installed at a customer site running on strategic Toshiba technologies, with a technical assessment of that solution to verify that the nominated Toshiba products are being used correctly. A technical assessment includes a review of your software listing in the Together Commerce Alliance Solutions Directory, the information included in this submission process and materials on your Web site. The technical team may also contact you directly for additional information. When submitting a solution for verification that will be used in earning points toward levels in the Together Commerce Alliance, you should consider the following rules: • • • • An ISV will earn 4 points for each verified solution An ISV can earn no more than 8 points for a given software solution. An ISV can earn no more than 8 points for a given end user customer. The maximum number of points that may be earned combined is 12. Further details can be found in the Together Commerce Alliance program guide at www.toshibagcs.com Information included in this submission is not published internally or externally. It is considered confidential information. However, once your company is approved as a Software Partner Plus in the Together Commerce Alliance program, your company name and web site will be listed on the Toshiba Global Commerce Solutions Software Partner Plus web page. All fields are required to complete this transaction. If you do not want to provide us with the required information, your request can not be processed. Toshiba will award points for verified solutions that leverage Toshiba Global Commerce Solutions hardware in the customer solution. The Business Partner solution must be a repeatable, for sale solution, which leverages Toshiba Global Commerce Solutions’ hardware. Toshiba will verify the Business Partner’s solution in two steps: by reviewing the content of the Business Partner’s offering and confirming how it leverages Toshiba hardware, and confirming with a customer who has the Business Partner’s solution installed. 2 Your customer information Customer name Customer address Customer contact name Customer contact email Customer contact phone Customer’s industry or segment Have you confirmed with your customer listed that he/she is willing to talk to Toshiba about the use of your solution at his/her site? If the answer is no, your request cannot be processed. What is the customer’s preferred method of communication? _____ Phone _____ Email _____ No preference Yes No If by phone, is there a preferred time of day? Preferred language? Customer implementation information Project start date Date solution put into production: Must have been within the last 18 months Number of Toshiba solutions installed Toshiba hardware product running the solution Toshiba hardware product model number Toshiba hardware product serial number By signing this submission document, you agree that the above information is accurate and may be verified. _____________________________________________ Print name _____________________________________________ Signature _____________________ Date 3