Community Development System for Linux - Registration Form

Applicant Information

 Prefix *

 First Name *

 Middle Name

 Last Name *

 Suffix

 Mailing Address (number and street) *

 Additional Address Information 1

 Additional Address Information 2

 City *

 State/Province

 Zip Code/Postal Code *

 Country/Region *
Select Country/Region United States of America Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil. Brunei Bulgaria. Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China China (Macau S.A.R.) China (Hong Kong S.A.R.) Colombia Comoros Congo, Democratic Republic of the Costa Rica Cte d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador. Egypt El Salvador. Equatorial Guinea Eritrea. Estonia Ethiopia Fiji Islands Finland France FYRO Macedonia Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands, The Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino So Tom and Prncipe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu United Arab Emirates Uganda Ukraine United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Yugoslavia Zambia Zimbabwe

 Applicant E-Mail Address *

Applicant Daytime Phone Number *
Country Code: Phone Number:

Applicant Fax Number
Country Code: Fax Number:

Company Information

 Company/Institution/Association/Affiliation Name *

 Company URL

 Company Mailing Address (number and street)

 City

 State/Province

 Zip Code/Postal Code

 Country/Region
Select Country/Region United States of America Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil. Brunei Bulgaria. Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China China (Macau S.A.R.) China (Hong Kong S.A.R.) Colombia Comoros Congo, Democratic Republic of the Costa Rica Cte d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador. Egypt El Salvador. Equatorial Guinea Eritrea. Estonia Ethiopia Fiji Islands Finland France FYRO Macedonia Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands, The Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino So Tom and Prncipe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu United Arab Emirates Uganda Ukraine United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Yugoslavia Zambia Zimbabwe

 Company E-Mail Address

Company Daytime Phone Number
Country Code Phone Number

Company Fax Number
Country Code Fax Number

Additional Information

 Which Linux Distribution Are You Interested In? *
Novell SUSE
RedHat

 a) What is the name of the program or project you'll be testing or developing? *

 b) What software or hardware solutions do you or your company currently develop? Are they available on the LINUX/UNIX platform? *

 c) What type of software development will you be doing? (Porting Open Source, Developing your own Software, and/or other) *

 d) What other Linux applications will you be using during your test? *

 e) Please indicate the number of days you plan to use the Service? *
30 60 90

 f) Rate your own level of LINUX/UNIX technical experience or other computer related experience: *
Novice Average Expert

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