Required fields are shown in bold.

(Please Note: Submission of this form does not allow you to begin development work.)


Name:

Title:

Company:

Street Address:

Room, Floor, Apartment:

Department:

City:

State/Province (US/Canada): Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland and Labrador New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Other:

Postal Code:

Country or Territory: Countries or territories with an '*' require a postal code.
Select One Albania Algeria * American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina * Armenia * Aruba Australia * Austria * Azerbaijan * Azores * Bahamas Bahrain Bangladesh * Barbados Belarus * Belgium * Belize Benin Bermuda Bhutan Bolivia Bonaire, St.Eustatius, Saba Bosnia * Botswana Brazil * British Virgin Islands Brunei Bulgaria * Burkina Faso Burundi Cambodia Cameroon Canada * Canary Islands * Cape Verde Islands Cayman Islands Central African Republic Chad Chile China, People's Republic of * Colombia Congo Congo, The Democratic Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia * Curacao Cyprus * Czech Republic * Denmark * Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England * Equatorial Guinea Eritrea Estonia * Ethiopia Faeroe Islands * Fiji Finland * France * French Guiana French Polynesia Gabon Gambia Georgia * Germany * Ghana Gibraltar * Greece * Greenland * Grenada Guadeloupe Guam * Guatemala Guernsey * Guinea Guinea - Bissau Guyana Haiti Holland * Honduras Hong Kong Hungary * Iceland * India * Indonesia * Iraq Ireland, Republic of Israel * Italy * Jamaica Japan * Jersey * Jordan Kazakhstan * Kenya Kiribati Korea, South * Kosovo * Kosrae * Kuwait Kyrgyzstan * Laos Latvia * Lebanon Lesotho Liberia Liechtenstein * Lithuania * Luxembourg * Macau Macedonia (FYROM) * Madagascar Madeira * Malawi Malaysia * Maldives Mali Malta * Marshall Islands * Martinique * Mauritania Mauritius Mexico * Micronesia, Federated States of * Moldova * Monaco * Mongolia * Montserrat Morocco Mozambique * Namibia Nepal Netherlands * New Caledonia New Zealand * Nicaragua Niger Nigeria Norfolk Island Northern Ireland * Norway * Oman Pakistan * Palau * Panama Papua New Guinea Paraguay Peru Philippines * Poland * Ponape * Portugal * Puerto Rico * Qatar Reunion * Romania * Rota Russia * Rwanda Saba Saipan San Marino * Sao Tome and Principe Saudi Arabia * Scotland * Senegal Serbia and Montenegro * Seychelles Sierra Leone Singapore * Slovakia * Slovenia * Solomon Islands South Africa * Spain * Sri Lanka * St. Barthelemy St. Christopher St. Croix * St. Eustatius St. John * St. Kitts and Nevis St. Lucia St. Maarten St. Martin St. Thomas * St. Vincent and the Grenadines Suriname Swaziland Sweden * Switzerland * Tahiti Taiwan * Tajikistan * Tanzania Thailand * Timor Leste Tinian Togo Tonga Tortola Trinidad and Tobago Truk * Tunisia Turkey * Turkmenistan * Turks and Caicos Islands Tuvalu U.S. Virgin Islands * Uganda Ukraine * Union Island United Arab Emirates United Kingdom * United States * Uruguay * Uzbekistan * Vanuatu Vatican City State * Venezuela Vietnam * Virgin Gorda Wales * Wallis and Futuna Islands Western Samoa Yap * Yemen Zambia Zimbabwe

Telephone:

Ext:

E-mail:



Company Web site Address (URL):

Number of years your company has been in business:

Is your company a sole proprietorship?
 Yes
 No
Total number of employees in your company:

Total number of company locations:

Does your company have an international presence?
 Yes
 No
Is your company publicly traded?
 Yes
 No
      If you answered yes, provide your ticker symbol:
      


What is the name and version of the product(s) that you wish to integrate UPS technology into? (256 characters maximum)

The product(s) entered above are:
 New and yet to be developed
 Existing and currently available

What platform is required to operate your product(s)?
Windows MAC UNIX AS 400 Main Frame Other
      If other, please specify:
      
Is your product open source?
 Yes
 No
Which category best describes your product(s)? (Select all that apply)

Ecommerce Shopping Cart  Ecommerce Web site Builder  Ecommerce Web site/Portal  Shipping System  TMS  WMS  Accounting/Financial

ERP  CRM  POS  Middleware  Procurement  Other (please specify):

Which UPS technology are you interested in integrating into your product(s)?  (Select all that apply)

UPS Tracking  UPS Rates & Service Selection  UPS Address Validation  UPS Time in Transit

UPS Shipping  UPSlink  Electronic Manifesting  EDI

How quickly would you like to integrate UPS technology into your product(s)?
Select one Already integrated Less than 90 days 90 - 180 days More than 180 days Just looking for information
Please explain how you envision UPS technology working in your product(s): (256 characters maximum)

How do / will customers access your product(s)?
 We host our product(s) on our hardware
 Customers install our product(s) locally on their own hardware
 Both
Do users of your product(s) agree to a software license?
 Yes
 No
What shipping-related activities are currently supported by your product(s)? (256 characters maximum)

Which other carriers' services are supported by your product(s)?
(Select all that apply)

None  FedEx  DHL

USPS  LTL  Other (please specify):

What size businesses are primarily targeted by your product(s)?
Select one Small Medium Large Multi-national
What vertical industries are targeted by your product(s)? (256 characters maximum)

Estimate the current number of customers using your product(s)?
Select one fewer than 50 51 - 250 251 - 500 501 - 1000 1001 - 5000 5001 or more


What are /will be the primary sales channels for your product(s)?

Web  Direct Sales  Retail

Resellers  Other (please specify):

If you answered Resellers, can the reseller 'private label' your product(s)?  Yes  No If you answered Resellers, can the reseller make changes to the code that comprises your product(s)?  Yes  No

How did you hear about the UPS Ready Program?
Select one Account Executive UPS Electronic Commerce Account Executive (ECAM) Tradeshow Advertisement Press Release Website Other

If other, please specify:

Has your company ever requested to join the UPS Ready Program through this form before?
 Yes
 No
Please provide any other information you would like to provide to UPS in considering your request to join the UPS Ready Program: (256 characters maximum)

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