Certified Developer Application

The information you provide below will be used in our online
Certified Developer Directory.

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Name :

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E-mail Address :

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Phone Number :

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Technical Contact Name :

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Technical Contact E-mail Address :

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Technical Contact Phone Number :

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Company Name :

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Company Phone Number :

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Company URL :

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Description of Company Services (500 characters or less) :

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What programming languages do you offer development services?

(check all that apply):
.Net (C# or VB.Net)
Classic ASP
ColdFusion
Java
PHP
Perl
Other

Which integration methods have you used to connect with Authorize.Net?

(check all that apply):
AIM
ARB
Card Present
CIM
SIM

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