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Worldwide Solutions Directory Application

* indicates required field
First Name: *
Last Name: *
Title: *
Company Name: *
Company Address: *

City: *
State: *
Zip / Post Code: *
Country: *
Language:
Business Phone (ext): *    
Fax:
Email: *
Company Sales Email:
Company Website URL: *

By submitting this application, you consent to the publication, via any medium (e.g., online, print, CD-ROM, etc.), of the information that you provide in this application. Any information submitted shall be subject to the review of Acucorp, Inc., and published at its discretion. If there is any information that you do not wish to publish, then please state "not available" or "N/A." The information will be confirmed prior to publication.

*I accept the terms of this agreement


What is the name of your application written using Acucorp technology? *
(One form per application, please.)
Which categories describe your application type: *
(hold CTRL to select all that apply)
In which countries do you sell your application? *
(hold CTRL to select)
Which markets has your product been localized for? *
(hold CTRL to select)
What file systems or RDBMSs does your application use or interoperate with? *
(hold CTRL to select)
Which platforms does your application support? *
(hold CTRL to select)

Please indicate the size of your customers' companies (target market): *
Customer: % of Sales
Small Companies (1 to 100 employees)
Medium Companies (100 to 1,000 employees)
Large Companies (1,000 + employees)
  100% Total
Please provide marketing descriptions for your application: (Acucorp reserves the right to edit application descriptions if necessary.)

Short Description (teaser - 30 words maximum) *


Long Description (150 word maximum) *

 
Comments:

To submit a logo with your application, please email your 1-inch by 1-inch image to with WWSD - Company Logo in the subject line.

I agree to receive email updates from Acucorp including eUpdate, Acucorp's monthly email newsletter and other periodic Acucorp announcements. To protect your privacy, Acucorp does not share this information with any third party.

       

 

 

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