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Certification Requirements

Certified Hosting Application

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Business Development / Sales Contact Information
Contact Name: *
Direct Phone: *
Direct E-mail: *
Technical Contact Information
Contact Name: *
Direct Phone: *
Direct E-mail: *
Company Information
Legal Name: *
Doing Business As: *
Address: *
City: *
State:
Zip Code: *
Country, if not US:
Year business was founded: *
Number of employees: *
Web Site URL: *
Target Market: *
Are you an Independent Sales Organization (ISO)?
  *
If yes, my sponsor is:
Do you sell products outside of the U.S. Market?
  *
If yes, to which countries?
Company Description (500 characters or less):*
You have 500 characters remaining.
Solution Description (500 characters or less):*
You have 500 characters remaining.
(This text will be used in our online partner directory.)
How did you hear about Authorize.Net?*
 
Hosting Services Information
Do you manage your own hosting data centers or are you a hosting reseller?*
 
We are hosting resellers
We manage our own data centers
Programming Languages (check all that apply):*
 
ASP (VBScript)
ASP.NET (C#)
Java (JSP)
Cold Fusion
PHP
Perl
ASP.NET (VB.NET)
Operating Systems Supported (check all that apply):*
 
Windows
Unix / Linux
Mac
Which Authorize.Net Integration methods do you support? (check all that apply):*
 
AIM
SIM
Card Present
WebLink
ARB
CIM
Approximate number of Authorize.Net merchants supported:
  *
How many years have you been supporting Authorize.Net merchants?*:
 
Partner Program Information
Do you have an existing contractual relationship with Authorize.Net?
Associate Reseller Relationship:
Reseller Relationship:
Merchant Relationship:
Other Relationship:
Hosting Environment & Technical Information
How many live sites are you currently hosting?
  *
What certifications or associations is your company currently recognized with?
 
May we list your product on our Web site using the information provided in this application?*
 
May we promote your solution within our booth at trade shows that we attend?*
 
Would you be willing to work with us to develop a case study?*
 
Do you provide custom development:*
 
Offer SSL Certificates:*
 
Offer FrontPage Extensions:*
 
Do you allow custom or third-party scripts?*
 
What are your customer support hours?
  *
How many support personnel do you have?
  *
What is your turnaround time for a support request?*
 
Do you offer service level agreements?*
 
Which shopping carts or store builder software do you support?*
 
Which databases do you support?*
 
SQL Server
MySQL
MS Access
In which ways may support requests be submitted?*:
 
E-mail
Chat
Phone
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