* The following information is required

*Company Name:
*Company URL:
*Product Name with Version:

*Check all conformance modes which are relevant for your product

IdP
IdP Extended
IdP Lite
SP Complete
SP Extended
SP Lite
ECP
Attribute Authority Responder
Attribute Authority Requester
Authorization Decision Authority Requester
Authorization Decision Authority Responder
Authentication Authority Requester
Authentication Authority Responder
POST Binding
eGov 1.0 Profile

Administrative Contact

This person is the primary point of contact and is responsible for the overall relationship and commitment of resources.

*First Name:
*Last Name:
*Title:
*Address:
*Phone:
*Fax:
*eMail:

Accounts Payable Contact

If specified invoices will be directed here, otherwise they will be sent to the administrative contact.

Check here if the Accounts Payable contact is the same as the Administrative Contact

Name and Title:
Address:
Phone:
Fax:
eMail:

Technical Contact

This person is required to operate and support your product during the execution of the interoperability test.

Check here if the Technical contact is the same as the Administrative Contact

Technical Contact 1
Name and Title:
Phone:
eMail:
Technical Contact 2
Name and Title:
Phone:
eMail:
Technical Contact 3
Name and Title:
Phone:
eMail:
Technical Contact 4 d
Name and Title:
Phone:
eMail:

Press Contact

If specified all press releases and other advertising or marketing collateral will be cleared with this person prior to their release, otherwise the administrative contact will be used.

Check here if the Press contact is the same as the Administrative Contact

Name and Title:
Address:
Phone:
Fax:
eMail: