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MapleConnect Application Form Contact Information *Prefix Mr.Ms.Dr.Prof.OtherIf other:    *First Name   *Last Name   Organization *Address     *City   *Country/Region SELECT ------> Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antartica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada - Alberta Canada - British Columbia Canada - Manitoba Canada - New Brunswick Canada - Newfoundland & Labrador Canada - Northwest Territories Canada - Nova Scotia Canada - Nunavut Canada - Ontario Canada - Prince Edward Island Canada - Québec Canada - Saskatchewan Canada - Yukon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Curacao Cyprus Czech Republic Djibouti DK Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands (Malvinas) Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany - Baden-Wuerttemberg Germany - Bavaria Germany - Berlin Germany - Brandenburg Germany - Bremen Germany - Hamburg Germany - Hessen Germany - Lower Saxony Germany - Mecklenburg-West Pomerania Germany - North Rhine-Westphalia Germany - Rhineland-Palatinate Germany - Saarland Germany - Saxony Germany - Saxony-Anhalt Germany - Schleswig-Holstein Germany - Thuringia Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey, C.I. Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey, C.I. Jordan Kazakhstan Kenya Kiribati Korea, Dem. People's Rep of Korea, Republic of Kuwait Kyrgyzstan Lao Peoples Democratic Republi Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Micronesia, Fed. States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Mxico Namibia Nauru Nepal Netherland Antilles Neutral Zone (Saudi/Iraq) New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Panama Canal Zone Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda S. Korea Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon St. Vincent and the Grenadines Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic of Thailand the Netherlands Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.A.E. U.S.Minor Outlying Islands Uganda Ukraine United Kingdom Uruguay USA - Alabama USA - Alaska USA - American Samoa USA - Arizona USA - Arkansas USA - Armed Forces Africa USA - Armed Forces Americas USA - Armed Forces Canada USA - Armed Forces Europe USA - Armed Forces Middle East USA - Armed Forces Pacific USA - California USA - Colorado USA - Connecticut USA - Delaware USA - District Of Columbia USA - Federated States Of Micronesia USA - Florida USA - Georgia USA - Guam USA - Hawaii USA - Idaho USA - Illinois USA - Indiana USA - Iowa USA - Kansas USA - Kentucky USA - Louisiana USA - Maine USA - Marshall Islands USA - Maryland USA - Massachusetts USA - Michigan USA - Minnesota USA - Mississippi USA - Missouri USA - Montana USA - Nebraska USA - Nevada USA - New Hampshire USA - New Jersey USA - New Mexico USA - New York USA - North Carolina USA - North Dakota USA - Northern Mariana Islands USA - Ohio USA - Oklahoma USA - Oregon USA - Palau USA - Pennsylvania USA - Puerto Rico USA - Rhode Island USA - South Carolina USA - South Dakota USA - Tennessee USA - Texas USA - Utah USA - Vermont USA - Virgin Islands USA - Virginia USA - Washington USA - West Virginia USA - Wisconsin USA - Wyoming Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands (British) Virgin Islands, U.S. Wallis and Futuna Islands Western Sahara Yemen, Republic of Yugoslavia Zaire Zambia Zimbabwe *Zip/Postal Code   *Telephone   Fax      *E-mail    URL Description of Software *In a few sentences, please provide a brief overview of your software. Include information about who would use it and what it does.   *Describe what form your product takes, for example, a Maple package, a collection of worksheets, an OpenMaple application, or a pdf document.   *Which Maplesoft Products Are Involved? Maple 12Maple 11Maple 10Maple 9.5 Maple 9Maple 8Maple 7Maple 6 MapleNetMaple T.A.Other If Other:     License Information * Please provide information about your Maple license (serial number and licensee name if single user copy, institution/department for a multi-user license). Note that a Student Edition cannot be used for commercial development. Indicate if you will need to upgrade your license after acceptance to the program. Single User Multi-user Serial Number Licensee Name   Institution/Company Department Why Is Your Software a Good Candidate For This Program? Please provide information on the following. If a version of this software already exists, numbers of current or past users If a version of this software already exists, URL(s) related to software (e.g. software information and download pages). *Competitive products, and why your product can succeed against them   *Level of interest shown by colleagues   *Any other information you have about your product and why you think it would be successful.   Why do you believe you are capable of successfully completing a quality commercial product? Please provide details about your experiences. *Years of programming experience in an academic environment     *Years of programming experience in a commercial environment   *Other packages, programs, etc., which you have developed that are being used by others. For each, describe the package, estimated number of users, and how long it is/was in use. If information about these materials is available online, include the URLs.   *Any other information about yourself that is relevant   Estimated Work Remaining Please give an honest evaluation of the work remaining in this project. This information will be used to help us forecast expected volumes on the site. *Select all items NOT completed. Code to be written (specify % remaining) %   Functionality testing Platform testing (if applicable) Testing against multiple Maple versions (if applicable. We recommend testing against every version between the one you used and the current shipping release) Installation procedure and documentation End user documentation Creation of sales/marketing material (pricing, product descriptions, screen shots, etc.) License agreement and support terms established Please estimate how long it will be before your product is ready to sell. Remember to include time for the creation of the sales, marketing, and legal material, as well as time to resolve intellectual property issues with co-authors. *Select one of the following. It is ready now1-2 weeks3-6 weeks2-3 months 4-6 monthsWithin a yearOther   If Other:        Personal Information Maplesoft would like to publish information about the program participants and their projects. Such exposure will help generate interest in your product. *Select all items for which you give Maplesoft permission to publish. Your name Your company or institution name A description of your product Terms and Conditions *I have read, understood, and accepted the Terms and Conditions of the MapleConnect Program.   Comments or Questions?