CBORD is pleased to learn of your interest in creating an interface between your system and one of ours. We seek partners that have solutions which provide extended functionality for our customers’ licensed CBORD systems.

In order to properly evaluate this opportunity, we ask that you submit this online application. We will consider the data you provide as company confidential information and it will be used solely for our internal evaluation of your request.

Please send us a completed form so as to expedite our evaluation and reply to you.

Company Information

Company Name (Required)
Main Contact Name
Job Title
Address (cont)
Zip/Postal Code
Email (Required - please only enter a single email address; no commas or semicolons)
Company Website
Date Established
Company Type
Total number of Customers Worldwide
Total number of Employees Worldwide
Gross revenue for most recent fiscal year
US Dollars
Gross revenue for previous fiscal year
US Dollars

Company Description

Please provide a brief overview of your company and products/services.

Business Environment

Describe your company's positioning in its primary market( in terms of price, quality, differentiating factors, competition, etc.):

Describe your key business relationships (alliances and clients):

Proposed Relationship

Please describe the type of relationship you envision with CBORD.

Please list the CBORD client(s) that is/are requesting this Xchange to be put in place. (Required)

Please check each product or service that applies to your company.
Print Management
Security/Door Access
Bookstore Point of Sale
TV Menu Entry
Other Please describe

Please check each market that applies to your company.
Higher Education
Acute Care Hospitals
Health Systems
Senior Living & Long-Term Care
Business & Industry

CBORD User Group Conference

Once becoming a partner, are you interested in committing to sponsor or exhibit at CBORD's annual User Group Conference (UGC)?
(Select the check box if "Yes.")


If applicable, describe any existing relationships or contacts you have at CBORD, or provide any other information that is relevent in evaluating a potential partnership between CBORD and your organization.

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