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The Cisco Compatible Extensions Program - New Application
Complete the form below to apply for the Cisco Compatible Extensions program. After completing this form you will be contacted concerning next steps. Please direct any questions regarding this application or the Cisco Compatible Extensions program to
cisco_compatible_wireless-info@cisco.com
.
Program Contacts
Contact First Name
Contact Last Name
Contact Title
Street Address line 1
Street Address line 2
City
State
Zip/Postal Code
Country
Phone
Fax Number
Email Address
Product Questionaire
Product Name
Product Revision Level
Date of Revision Level Release
Product Description Offering (50-100 words)
Product Differentiators (50-100 words)
How often are maintenance releases and upgrades distributed?
Product-specific Web Page URLs
Technical Documentation URLs
Product Category (Select One)
Laptops
Handhelds
Standalone Client Adapters
Tablet PC
Desktop PC
Other
If embedding an already approved client adapter, please provide company name, product name, and version/revision.
Client Adapter Form Factor
802.11 Standards Supported (choose all that apply)
802.11a
802.11b
802.11g
Operating Systems Supported
Which Cisco Compatible Extensions version and revision is your product being tested to?
In what countries do you sell your product? (url to a list is acceptable)
In what target markets do you sell your product?
How is your product sold/distributed?
Company Information
Company Name
Company Phone (please include country code for non-U.S.)
Company Fax (please include country code for non-U.S.)
Company URL
Company Street Address line 1
Company Street Address line 2
City
State
Zip
Country
Select One
Public
Privately Held
Number of Employees
Annual Revenue
If Public, Stock Symbol:
If privately held, who are the principal investors?
Two Sentence Company Overview:
Are you part of any other Cisco partner programs?
