EdgeMagic Authorized Reseller Application

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1 Company Information Ownership (If the company is more than 50% owned by another corporation, identify the parent corporation and percentage of ownership) Legal Company Name (per tax filing) DBA (name by which the business is conducted) Federal Tax ID/ Co. Government Registration # Web URL_ Corporate Headquarters Address City State Zip Country Region/Province/District (outside US) Phone # Company Description (specifically regarding its RFID initiatives) Name % of Ownership Parent Corp. Tax ID Address City State Zip Country Region/Province/District (if outside US) Phone # Form of Corporation Corporation Limited Liability Corporation State of Incorporation Year Country of Incorporation Year CYBRA Corporation 28 Wells Avenue, Bldg. 3 Yonkers, NY

2 Contact Information (Note: One individual may represent multiple contact points and/or roles) Application Submitted by: Full Name_ Title Address City State Zip Country _ Region/Province/District (outside US) Phone # Key Program Contact Contact in your company who will receive all program correspondence from CYBRA. Sales Contact Person who should receive sales-related communications: Marketing Contact Person who should receive marketing-related communications: Technical Contact Person who should receive product and technical information: Services Contact Person who should receive service related communications: CYBRA Corporation Page 2 of 5

3 Financial Information Company Revenue: Current Year in US Dollars 0 - $1 Million $1M - $5M $5M - $50M $50M - $250M over $250M Staffing & Skills Staffing: (please include headquarters and all sales offices) Hardware / Software Services split % Hardware (IT hardware including AutoID, RFID readers, barcode scanners) % Software (Packaged application software, middleware or custom code) % Professional Service (defined as: needs analysis, technology consulting, business process re-engineering, project management, custom application development, systems configuration, systems Integration, systems installation & training) % Customer Services (defined as any services offered that are directly related to the ongoing maintenance of product. This includes but is not limited to maintenance services delivered in a service center, either by service agreement, time and material basis or at a flat rate, maintenance services delivered at a customer site and/or product upgrades/enhancements) 100% Total Total for Company RFID & Related Type of Employee Technical Certifications: If you supplied a percentage for Customer Services above, please check those that you Indicate how many RFID assigned technical personnel have received certifications offer below: from: Sales Marketing Customer Service Help Desk Professional services Software developers Total number of employees Fee Based Complimentary Help Desk support availability: x (# hrs/day x # days/week) Computer-based call tracking Customer support solution applications Repair / Break/Fix Technical Support Diagnostics & Troubleshooting Percentage of your company s sales that are to or through: % 100% Resellers Brokers/Agents Distributors End Users # # Microsoft Sys. Admin. (MCSA) App Dev. (MCAD) Other Microsoft Certifications RFID Alien Academy Sys. Engineers (MCSE) Solution Dev. (MCSD) Motorola/Zebra RFID Project Experience (Indicate with a check ( ) your technical team s involvement in projects involving RFID. D = project Design, M = project Mgmt, T = Technical implementation, O = Operations) D M T O CPG Pilot project Retail Chain project Asset tracking application Inventory control Supply chain optimization Transportation / Logistics Data integration / analysis Pharmaceutical applications Baggage handling Manufacturing CYBRA Corporation Page 3 of 5

4 Sales & Marketing Information: Target Markets: (Note: Please supply your percentage of sales to the following markets and check the Miscellaneous markets you intend to pursue with RFID technology in the next 12 months) How important is RFID to your company? (0 = don t know, 1= strongly disagree; 5 = strongly agree) % RFID Market Retailers Consumer Packaged Goods (CPG) Printing (including label conversion) Transportation (including airlines, trucking & rail) Logistics Government (non military) Federal State & Local Military Postal Current Selling Methods: (Note: must total 100%) % of Sales Category 100% Pharmaceuticals Healthcare Other (specify Face-to-face with end-user customer Online catalog Printed catalog Telesales (direct sales) OEMs Resellers Other (please specify ) RFID Application Focus: (Please check the application areas you intend to pursue with RFID technology) Check Application Device management Remote administration / configuration Print/Apply systems integration Drug pedigree Perishable goods management Drug pedigree Warehouse management Asset management Supply chain management Hardware integration (e.g. RFID, cameras & material handling) Equipment integration (e.g. RFID readers and forklifts) RF Testing & certification Data analysis Other (specify ) RFID is one of the top three initiatives of my company s senior management. My company is developing products or services that involve RFID. My company is investing in technical training in RFID. How did you hear about EdgeMagic? (please check all that apply) Web search (please specify search engine) ) Publication (please specify) ) Customer referral Press release Other (please specify ) Other RFID Products Carried: (What other company s products do you resell?) Fixed Readers: Alien AWID Impinj Technologies Intermec Motorola Sirit Handheld Scanners: Intermec LXE PSC Psion/Teklogix Symbol T2 Label Printers: Avery Dennison Datamax Printronix Paxar Sato Toshiba Zebra Does your company intend to: (check all that apply) Resell EdgeMagic hardware and software? Influence the sale of EdgeMagic hardware and software? Integrate EdgeMagic software with other hardware? Write application code that runs on the EdgeMagic Controller? In what Territories do you intend to resell EdgeMagic hardware and software? U.S. & Canada Mexico & LATAM South America Europe Japan Korea Taiwan China Other Asia CYBRA Corporation Page 4 of 5

5 Please describe any proprietary and packaged software solutions your company has developed for RFID applications. Summarize the value you intend to add to EdgeMagic s RFID products. Customer References: 1. Account Name Contact Person Phone RFID project description: Date of project: 2. Account Name Contact Person Phone RFID project description: Date of project: CYBRA Corporation Page 5 of 5