Polycom VoIP Interoperability Partner (VIP) Program Application Form Application Instructions: Please fill out and submit this Application Form together with a presentation of your company credentials and the platform, which interoperability you wish to certify with Polycom phones to: vip@polycom.com. Application Submission Date (DD/MM/YYYY): / / 1. Company Information 1.1. Have you applied to the Polycom VIP Program before? No Yes. Please specify date of previous application (MM/YYYY) / 1.2. Address and contacts Company Name: Company Web Site: Address (Headquarters): City: State: Country: Postal Code: Telephone: Fax: Technical Contact Name: Technical Contact Title: Technical Contact E-mail: Technical Contact Phone: Business / Marketing Contact Name: Business / Marketing Contact Title: Business / Marketing Contact E-mail: Business / Marketing Contact Phone: 1.3. Global resources specific to your VoIP offering Number of Office Locations (WW): Number of Internal Sales Staff: Number of Internal Engineering Staff: Number of Internal Technical Support Staff: 1.4. Please specify all regions where you plan to market your VoIP offering North America Europe, Middle East and Africa South America Asia Pacific Polycom VIP Application Form - Rev. 09/2006 1
2. Platform 2.1. Please specify below the name and version of a platform, which interoperability you wish to certify with Polycom phones and software 2.2. Platform type IP PBX Feature Server Softswitch Session Border Controller Media Gateway PSTN Gateway 2.3. Platform brief technical description and software architecture overview (Skip this question if it is fully addressed in the platform presentation that you are submitting together with this Application Form) 2.4. Platform unique features. Please list and briefly describe unique feature(s) that differentiate(s) your platform from other platforms of its kind (Skip this question if it is fully addressed in the platform presentation that you are submitting together with this Application Form) Feature Brief Description 2.5. Platform development status GA - general availability, platform is currently shipping Platform finalized and tested, marketing launch pending. Please specify expected GA date Platform under development Please specify expected GA date Polycom VIP Application Form - Rev. 09/2006 2
2.6.1. Which models of Polycom VoIP phones would you like to test interoperability of your platform with? Please select all that apply SoundPoint IP 301 SIP SoundPoint IP 430 SIP SoundPoint IP 501 SIP SoundPoint IP 601 SIP SoundPoint IP 601 SIP with SoundPoint IP Expansion Modules SoundPoint IP 650 SIP SoundPoint IP 650 SIP with SoundPoint IP Expansion Modules SoundStation IP 4000 SIP All of the above 2.6.2 Which version of Polycom SIP software would you like to test interoperability of your platform with? Please write in the space below (example: SIP 2.0.1) Polycom SIP version.. 2.7. Please specify brands and models of other endpoints that your platform supports, beside Polycom s? (e.g.: Cisco 7960, Aastra 9133i, etc.) 2.8. Please list SIP RFC(s) and drafts that your platform supports and whether compliance is partial or full for each? (Skip this question if it is fully addressed in the platform presentation that you are submitting together with this Application Form) 2.9. What is the origin of your platform? Open Source (CONTINUE) Self-developed, Proprietary Intellectual Property (SKIP TO 3.1.) Other (Please Specify. Then SKIP TO 3.1.) Questions for Open Source-based platforms ONLY 2.9.1 Which of the following Open Source platforms is your platform based on? SIPxchange (PingTel Open Source) Asterisk (Digium Open Source) 2.9.2 Is your platform supported by the originating source company, as specified above? Yes No Do not know Polycom VIP Application Form - Rev. 09/2006 3
3. Go-to-Market Strategy and Sales Forecast 3.1. Please provide a brief overview of your channel strategy (Direct, Indirect, Two Tier, etc.) 3.2. Please describe your channel resources Number of Distributors: Number of Resellers: 3.3. Please specify your company s primary market target(s). Please select all that apply SOHO SMB Enterprise National Carrier / Service Providers Regional Carrier / Service Providers Cable Company 3.4. What verticals comprise your company s primary target(s), if any? Please select all that apply Government Healthcare Education Finance No focus on particular verticals 3.5. What was you company s revenue from the platform under consideration last year (Optional) 3.6. Please specify the number of deployments of the platform under consideration that you have had to date? 3.7. Please specify the number of VoIP seats you have sold with the platform under consideration to date? Polycom VIP Application Form - Rev. 09/2006 4
3.8. Please specify the number of VoIP seats you expect to sell in the next 12 months 3.9. Please provide your estimate of the number of Polycom phones that would be sold with the platform under consideration within the 12 months after your approval as a Polycom VoIP Interoperability Partner? 3.10. Please describe your assumptions in detail that led to the number specified in 3.9. Polycom VIP Application Form - Rev. 09/2006 5
4. Technical Support Model 4.1. One of the eligibility criteria for Polycom VoIP Interoperability Program (Polycom VIP) is applicant s possession of sufficient technical and other resources required to provide together with applicant s channels tier 1, 2, and 3-level technical support for Polycom phones that would be deployed with applicant s platform. Please explain how your company meets this eligibility criterion. 4.2. Which of these technical assistance methods do you employ for your own platform? Please select all that apply TAC On-site 3-rd Party (Please Describe) Other (Please Describe) 4.3. Please provide in the space below or attach to this application a detailed flow chart for your own technical assistance escalation and trouble ticket processes Polycom VIP Application Form - Rev. 09/2006 6