iPass: Broadband Provider Form

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Broadband Provider Form

Please fill out this short form if you are interested in becoming an iPass Global Broadband Provider.

* indicates a required field.

Broadband Provider Application Form

* Name (First/Last)

* Company

* Title

* Phone

* Email

* Confirm Email

* Address

* City

* State

* Postal Code

* Country

* How many mobile devices does your organization support (include notebooks, handhelds, Blackberry devices, etc.)?

* What primary technology do you use to keep your remote and mobile users connected to your network?

other:

* How do you currently distribute patches to or update software for mobile users?

* What is your role in the decision-making process for remote and mobile access solutions?

* What is your role in the decision-making process for patch and software update solutions?

* Add me to iPass email list

Yes No

* Interested in receiving information on iPass service from iPass partners

Yes No

* Company Description

* Number of Locations

* Service Type

The information submitted through this form will only be stored or used for the purposes of administering requests for information received from you, contacting you about iPass products and services as indicated above, and/or to obtain your opinions through market research. If you do not wish to be contacted or to receive any communications about iPass products and services, please check "no" on the boxes above. iPass respects your privacy and is committed to protect the personal information that you share with us.

If you do not wish to receive any future communication from iPass Inc., click here. If you do not follow these directions your name may not be suppressed from future iPass Inc. communications.

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