First Name:
Last Name:
Company:
Email:
Website:
Phone:
Number of employees:
Annual Revenue Band:
Number of applications you offer today on AppExchange?
Number of applications you intend to build for the Force.com Developer Contest?
Briefly describe the application(s) you are building.
Number of price plans you intend to offer:
Briefly describe the pricing plan(s) you intend to offer. For each pricing plan, please include dollar amounts along with information about any one-time charges, recurring fees (amount and time interval), per user charges, volume discounts, usage-based fees, or anything else you are contemplating.
Will you be taking credit card payments only?
If No, what other payment types will you support?
Do you have a PayPal Payment Gateway Merchant account?
If No, who is your payment gateway? (Enter "N/A" if you dont have a payment gateway)
What is the approximate date when you'll be ready to integrate Zuora billing into your application?
When do you anticipate your new application will be certified by Salesforce.com?

Member Application: Zuora Charter Program for Force.com Developers

Please complete this brief application to be considered for selection as a member of Zuora's Charter Program for Force.com Developers. All responses will be kept confidential.

Note: to be accepted into this program, you must have also been accepted by Salesforce.com to participate in its Hack into Dreamforce Contest (see http://developer.force.com/appexchangechallenge for more details).