Integration/Solution Provider (this is the name of the company providing
the integration/solution):
Integration/Solution website:
Sales contact name:
Sales contact email:
Contact phone number:
Address 1:
Address 2:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
None
Zip Code:
Country:
Do you wish to receive leads from SoleraTec
end-users?
Yes
No
Do you wish to receive leads from SoleraTec
resellers?
Yes
No
Name of Integration/Solution:
Product Categories (access control, building management, system, retail
system, industrial automation, video analytics, hardware, other:
Description of Integration/Solution.
A brief description of the integration/solution and major benefits for customers using the system (3000 characters max):
Describe specifics about your integration/solution. This information will be kept strictly confidential and be used only by SoleraTec employees (3000 characters max):
State which description best matches your
integration/solution:
Project based, requiring consultancy man hours for customization to fit
specific environment requirements.
Off-the-shelf, requiring very little or no customization.
If any software is required to use your integration/solution, please describe it:
If any hardware is required to use your integration/solution, please describe it:
Unique Selling Propositions.
Please provide up to five sentences clearly stating the most important advantages of using your
integration/solution. (3000 characters max)
URL to the integration/solution on your website:
URLs to product screen shots and video demos
(1024x768 pixel, PNG or JPEG):
URL to integration/solution brochure or factsheet:
URL to Company logo, preferably EPS format. If not in EPS format, please provide a JPEG or PNG file:
Primary Markets and Customers.
For example, “Retail food market segment.”
If permitted, list up to five customers (including name, industry, country/region) who are using the integration/solution.
Are there any restrictions regarding regions or countries in which
your integration/solution can be sold and serviced?
If possible, indicate the price range of you integration/solution and a short description of what the price includes: