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Date : 12/12/2018

Company*:

Integration Project Description

Proposed product*:

Motivation of the request*:

Description of Product*:

Description of the intégration*: (Integrated with)

Development Platform

Typical User Scenario*:

Product Domains & Keywords*:

Your product or service is in which Engineering Domain?:

If you don't find a matching Engineering Domain still select the closest one above and specify what would be the right one:

Your product or service is in which Engineering Domain?:)

If you don't find a matching Engineering Sub-domain still select the closest one above and specify what would be the right one:

OS supported?:

Does your product currently operate with other PLM products/systems? If so, which ones:

Company description

Ownership*

Public

if yes, Market Place

Private

if yes, Investors Description

HQ Location*

Address:

City:

State:

Zip:

Country:

Phone:

Fax:

Web:

Mission:

Last year revenue (US$):

Number of Employees:

Your company has been in business since (year):

Comment:

Direct sales

Resellers

Online Sales

Competition:

Customer References related to the project*:

If you are currently selling the intended product or service, please supply 3 customer references.

Company 1:

Company 2:

Company 3:

Installed base / Market Customer Base for your product or service is:

Number of seats:

Number of customers:

Target Markets for your product or service*:

If you don't find a matching Target Market still select the closest one above and specify what would be the right one:

Markets by Geography:

America's

Asia/Pacific

Europe/Middle East/Africa (EMEA)

Customer References related to the projectContact information:

Main contact*:

Title:

First name:

last name:

Phone:

Fax:

Email:

Please, provide any other documentation (pdf, ppt...) to describe (Max file size 8 Mb)

your company:

your products:

I acknowledge I have read and I hereby accept the privacy policy under which my Personal Data will be used by Dassault Systèmes*

Please check carefully the information you provided above and then submit.

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