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Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Enter the email address and click on the button to get your verification code

Verification code *

Membership Requested

Membership Requested *

Please select the required membership level for the program.

Personal Information

First Name *

Last Name *

Job Function *

Telephone Number *

Company Information

Company Name

The content of this field is kept private and will not be shown publicly.

Street Address

The content of this field is kept private and will not be shown publicly.

City

The content of this field is kept private and will not be shown publicly.

Province/County/State

The content of this field is kept private and will not be shown publicly.

Postal/Zip Code

The content of this field is kept private and will not be shown publicly.

Country

Telephone Number

VAT Number

Sales Channels

Subsidiary *

Are you currently a Subsidiary, Distributor or Dealer of any of the Ricoh Family Group of Companies?

Current Business *

Do you currently have a business relationship with any of the Ricoh Family Group of Companies concerning your software products?

Development Details

Type of Developer

The content of this field is kept private and will not be shown publicly.

Development Purpose

The content of this field is kept private and will not be shown publicly.

Development Type

What is the main type of software you develop

Number of Developers

How many developers currently work within your organisation. The content of this field is kept private and will not be shown publicly.

Core Business

Please provide a detailed description of your core business and the type of solutions you wish to develop. The content of this field is kept private and will not be shown publicly.

Development / Application Names

Please provide the names of your developments and/or applications. The content of this field is kept private and will not be shown publicly.

Main Industries

Please list the main industries areas that your application targets The content of this field is kept private and will not be shown publicly.

Countries Covered

Please provide a list of the countries in which your software is sold and/or supported. The content of this field is kept private and will not be shown publicly.

Ricoh Representative

First Name of you Ricoh Representative

What is the first name of your Ricoh Representative. The content of this field is kept private and will not be shown publicly.

Last Name of you Ricoh Representative

What is the last name of your Ricoh Representative. The content of this field is kept private and will not be shown publicly.

Telephone Number of Ricoh Representative

Please provide the telephone number of your Ricoh Represntative. The content of this field is kept private and will not be shown publicly.

Email Address of Ricoh Representative

Please provide the email address of your Ricoh Representative. The content of this field is kept private and will not be shown publicly.