Supporting Member Registration Form: Please fill in all fields and agree to the terms of this agreement *Required fields
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| *First Name |
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| *Last Name |
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| Title |
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| *Company or Enterprise Name |
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| Company or web site URL |
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| Address |
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| Address 2 |
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| City |
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| State |
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| *Country |
Select Country
Other
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint LUCIA
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
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| Postal Code: |
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| *Email |
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| Phone |
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Note: Apdex Alliance has the right to post the name of the company and country
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What is the nature of your company's primary business?
Manufacturer of Computers, Communication or Peripheral Equipment
Manufacturer of other products (non-computer related)
Finance/Banking/Accounting
Insurance
Real Estate/Legal Services
Wholesale or Retail Trade (non-computer related)
Computer Related Retailer/Wholesaler/Distributor
Government: Federal (including Military)
Government: State or Local
Transportation: Land, Sea or Air
Health Care/Pharmaceuticals/Medical Services
Communications/Telecommunications Carrier/Electric/Gas
Publishing, Broadcast, Advertising, Public Relations
VAR, VAD, Systems or Network Integrator
Computer and Data Processing Services/Consulting
Business Services (other than computer)
Education
Research and Development
Aerospace/Defense Contractor
Mining/Construction/Petroleum/Refining/Agriculture
ISP/ASP/Web Service Provider
Approximately how many employees do you have?
Over 40,000
10,001 - 40,000
1,001 - 10,000
501 - 1,000
101 - 500
50 - 100
Less than 50
What is the total annual revenue (budget for government/education/non-profit groups) of your entire organization?
$1 Billion or More
$501 to $999 Million
$101 to $500 Million
$50 to $100 Million
$10 to $50 Million
$1 to 10 Million
Under $1 Million
Your role at your company (check all that apply)
User
Business manager
IT manager
Application developer
Network manager
Server manager
Data center manager
System architect
Other (fill in)
Your role regarding information systems and application performance at your company (check all that apply)
Planner
Read the reports
Generate reports
Analyze data
Gather data
Other (fill in)
By clicking below you agree to these terms:
Agreement:
The applicant signifies that he or she has read, understands and accepts the Apdex Alliance's Operating Procedures, Antitrust Compliance Guidelines, and such rules and policies as the Apdex Alliance may from time to time adopt and/or incorporate into said documents. Membership in the Apdex Alliance is contingent on continued adherence to the then-current version of the above referenced documents. The Apdex Alliance may publish a list of Supporting Members' affiliations on the Alliance's web site.
*Yes, I agree to terms
Users may opt out of this service at any time.
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