Please submit information about your company if interested in offering PaymentNet services to your customers.
Web Developers Info Form
Contact Information:
Parent Company Name:
dba Name:
Domain Address:
Contact Name:
Address:
City:
State:      Zip:
Sales/Marketing Contact:
Phone:
Fax:
Email:
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Technical Contact:
Phone:
Fax:
Email:
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Focus of company: (eg. Information sites, support sites, E-commerce sites, general, etc...)
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# of Web sites developed:
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# of new customers/month:
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# of sites on regular maintenance:
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Industry/Regional/Other Focus:
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Which ISPs do you resell or recommend?
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Storefront/Shopping carts you work with:
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Check the Internet Platforms you support:
. BSDI
. DEC Alpha Unix
. Linux
. Microsoft NT
. Microsoft Site Server
. SCO UnixWare/Open Server
. SGI Irix
.. Sun Solaris
Other
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Check the development languages/systems you support:
. Active Server
. C++
. Java
.. Perl
.. Cold Fusion
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List any other scripting languages you support:
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List any other electronic commerce payment processing solutions you support:
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Can PaymentNet e-mail new programs/service enhancements/special offers to you?
. Yes   No
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Comments/Questions:
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