Apply to be a Plug Computer Partner - (Registered or Premier)

Business / Company Name^*

First Name^*

Last Name^*

Title^*

Email Address^*

Phone Number^*

Web Site^*

Address

City

State/Province

Country^*

From where did you purchase your Plug?

Plug Serial Number^*

Company Size^*

1-10 employees11-50 employees51- 100 employees>101 employees

Web Site URL

Company Logo

Company Profile^*

Proposed Application^*

Scripted Demo

Message

I have read and accept the Terms and Conditions^*

Terms and Conditions

Submission of your application form to become a "Registered Member" or "Premier Member" in Marvell's Plug Computer Partnership Program, shall constitute your representation that you have read, acknowledged and explicitly agree to be bound by the terms and conditions of www.plugcomputer.org "Terms of Use" and that the Terms of Use, specifically, Section 6 ("prohibited uses of plugcomputer site") shall apply directly to your use of any Plug Computer you purchase and/or to any Plug Computer related application or product (in demo or final form) that you may develop while a Registered Member or Premier Member of the Plug Computer Partnership Program.