TeamVERSANT partners with existing contracts should complete this form in order to be included in the Versant Partner Directory. Companies interested in joining the TeamVERSANT partner program should contact emartinez@versant.com for information regarding the partner program benefits and partner qualification process.

COMPANY INFORMATION (Headquarters, subsidiary and regional offices/operations should be listed separately.) Company Name: Address: City: State/Province: Postal Code: Country: Phone: Fax: Telex: URL*: Email*: Primary Business Contact Contact Name: Title: Phone: Email*: Primary Marketing Contact Contact Name: Title: Phone: Email*: Primary Technical Contact Contact Name: Title: Phone: Email*: *If provided, URL and email address will be hyperlinked to your partner site. Year company was established: If you would like, your company logo will be displayed as part of your company's profile on Versant's web site. Retrieve company logo from our web site: Do not want our company logo displayed PRIMARY INDUSTRIES Cross Industry Telecommunications Finance Healthcare Media/Publishing Internet Utilities/Trans Government Insurance Manufacturing Retail/Distrib. Other (please specify): If telecommunications is a key industry, please check any of the following areas that apply: Application Focus Equipment/Manufacturer Service Activation Wireless Service Provider Service Assurance Cable Service Provider Customer Care/Billing Other (please specify): SALES AND SUPPORT AREAS Africa Canada Asia Pacific China Australia/NZ Europe Japan Latin America Middle East United States World Wide QUALITY STANDARDS Is your company registered for a quality assurance such as ISO9000, Malcolm Baldrige, AQAP, SEI level, MILSTD, TickIT, BS5750, AS3901, AS3563 or similar? If yes, please list standard. PARTNER TYPE (Check all that apply) VAR Consultant ISV Tool Vendor SI Hardware Platform Provider Training Partner ISP Other (please specify): DATA INTEGRATION EXPERTISE (Check all that apply) Oracle Sybase INFORMIX MS SQL Server VSAM IMS CICS DB2 Other (please specify): COMPANY OVERVIEW Describe your company and the product, application or service that it offers. CUSTOMER BASE Please list customers where your products have been successfully deployed. Customer Name: City, State, Country: Customer Name: City, State, Country: Customer Name: City, State, Country: DISTRIBUTORS If your product(s) are sold by a distributor network or other sales channel, provide the information below. Distributor Name: Contact: Address: City: State/Province: Postal Code: Country: Phone: Fax: Telex: URL: Email: Distributor's Territory: Products Distributed: SERVICES If you provide a service such as consulting or systems integration, use this section to provide information about yout service offering. Service Offering Name Services Summary Describe your service offering. Use a bulleted list format whenever possible. Include the following information about the service: Functionality Special features Important business issues Select the categories that best describe your service. Application development Facilities management Consulting Hotline support Customization Turnkey projects Database design Network design Disaster recovery On-site support Education/training Outsourcing services Employment services Project management Systems integration Tech Documentation Testing Mentoring Appl Conversion Internet Service Website Design and Dev. Other (please specify): PRODUCTS Use this section to provide information about your products. Product Name Product Summary Describe your product. Try to use a bulleted list format whenever possible. Include the following information about the product: Functionality Special features Important business issues Typical Customer Application (characterize your typical customer application in terms of size) Largest Average Smallest Database size # of concurrent users PRODUCT TECHNICAL REQUIREMENTS The product technical requirements will provide additional requirements needed to run the application, product or service. Please provide any special hardware or software requirements not listed in this section using the "other" section. Versant Release Release Status: Select One Prototype Beta Released Current Versant Release: Select One 3.014 4.0 5.0 Language Interfaces C Java C++ SQL (embedded or Interactive) SmallTalk Supported Client UI Environments: Motif HTML Windows ODBC

Hardware Platforms

	Sun			SGI
	INTEL			Other (please specify):

Operating Environment

	OS/2
	Windows 95
	Windows 3.1
	Windows NT 4.0
	Solaris, Version:
	HP UX, Version:
	AIX, Version:
	IRIX, Version:
	Other (please specify):

Do you use TP Monitors?

Select One Yes No

Versant Features Used

	Optimistic Locking
	Fault tolerant server
	Personal databases
	Checkin/checkout
	Versioning
	Disitributed Databases
	Path queries
	Event notification
	Multi-thread, Multi-session

Third Party Integration
CORBA

	IONA/ORBIX, Version:
	Powerbroker, Version:
	NEO, Version:
	Other (please specify):

Integrated Presentation Layer

	Neuron Data, Version:
	Rogue Wave zApp, Version:
	Visix/Galaxy, Version:
	Other (please specify):

Class Libraries

	Rogue Wave
	STL
	Other (please specify):

Is this an Internet-based application? Select One Yes No

If so, provide web server platform supported (check all that apply)

	Netscape			Microsoft
	Open Market			Apache
	Spyglass			Zeus
	Other (please specify):

Other Technical Requirments:

This form can be submitted in 3 ways:

• Electronically: fill out this online form and click the "Submit Form" button.
• Faxed: (415) 593-3095
• Mailed: 1160 Industrial Road, Suite 20 San Carlos, CA 94070