Alliance Application                                          Cingular Wireless
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Alliance Application                           Cingular Wireless
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Alliance Application                                       Cingular Wireless
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Alliance Application                                       Cingular Wireless
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Alliance Application                                         Cingular Wireless
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Alliance Application                                        Cingular Wireless
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Alliance Application                                          Cingular Wireless
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Alliance Application                                         Cingular Wireless
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Alliance Application                                         Cingular Wireless
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Alliance Application                                        Cingular Wireless
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Alliance Application                                       Cingular Wireless
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Alliance Application                                     Cingular Wireless
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Alliance Application                                       Cingular Wireless
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Alliance Application                                         Cingular Wireless
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Alliance Application                                       Cingular Wireless
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Alliance Application                                      Cingular Wireless
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Alliance Application                           Cingular Wireless
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Alliance Application                             Cingular Wireless
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Alliance Application                           Cingular Wireless
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Alliance Application                           Cingular Wireless
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Alliance Application                           Cingular Wireless
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Instructions for Alliance Application

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Instructions for Alliance Application

  1. 1. Alliance Application Cingular Wireless Business Alliance Program Instructions for Alliance Application Cingular Wireless (“Cingular” or “Cingular Wireless”) will use this Alliance Application to evaluate a potential alliance relationship with your company (“you” or “your”). At no time during the application process, contract execution phase, or establishment and daily maintenance of your alliance agreement, should you discuss with or disclose to us any of the following information: • your proposed or established end-user rate structure; • your customer service policies and related pricing; or • your equipment pricing. Application Instructions: Please review the Alliance Guide prior to completing this application as instructed below. Please type or print all responses. Email a completed electronic version of this application to mms.alliances@cingular.com AND Mail or FAX a completed and signed hard-copy of this application along with a copy of your W-9 and State Certificate of Resale documents to the following address: Cingular Wireless ATTN: Lori Pipkin 150 Mt Airy Road Basking Ridge, N.J. 07920 (FAX: 908-696-4420) A Cingular mutual NDA is not required but is included in the ZIP folder and on our Cingular web site, http://www.cingular.com/about/alliance_business, should your company require one; please print, sign and fax to the number listed above. Providing all the required information and submitting the application per the instructions will significantly reduce the time required to become a Cingular Business Alliance member. For Cingular Wireless Use Only Alliance Type Selling Model Marketing Alliance Data Solution Provider Co-Sell Value Added Reseller Non Co-Sell Master Dealer Co-Sell & Non Co-Sell (Master) Cingular Wireless 1 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  2. 2. Alliance Application Cingular Wireless Business Alliance Program Cingular Wireless 2 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  3. 3. Alliance Application Cingular Wireless Business Alliance Program This section provides a brief description of the Alliance programs. Please review the following descriptions and select the program that you feel best describes the type of alliance relationship you are interested in beginning with Cingular Wireless. Under each description, you will find corresponding sections that will need to be completed to continue the application process. Marketing Alliance Cingular Wireless works closely with leading software providers, equipment manufacturers and consultants to bring exciting new products and services to market. Through our Software Certification, Device Network Compatibility, and System Integrator programs you can receive sales, marketing, technical, and training support and get tremendous exposure to markets through Cingular Wireless leadership in the enterprise space. 1. All Applicants must complete sections 1 & 2. 2. Applicants not providing a Dunn & Bradstreet number in Section 1 must complete Section 3 3. All Applicants must complete section 7 except for the following: Corporate Applicants who have provided copies of their Articles of Incorporation; Limited Partners of Partnership Applicants. Data Solution Provider Data Solution Providers (DSP) sell and support vertical applications that use Cingular Wireless networks, and receive a commission for activating customers on published rate plans. DSPs provide primary support for their solution to the customer, including primary network support as trained by Cingular Wireless. 1. All Applicants must complete sections 1, 2, 4 & 5. 2. Applicants not providing a Dunn & Bradstreet number in Section 1 must complete Section 3 3. All Applicants must complete section 7 except for the following: Corporate Applicants who have provided copies of their Articles of Incorporation; and Limited Partners of Partnership Applicants. 4. All Applicants must submit a completed Form W-9 (blank form provided at the end) 5. All Applicants must submit a voided check -or- a specification form with bank’s routing number and company’s account number (see section 5) 6. Attach your State Certificate of Resale for the state where equipment will be shipped Master Dealer – Data Solution Provider As a Master Dealer, the potential Alliance Dealer provides marketing, sales, new account activation and training support to Sub-Dealers. Sub Dealers are those dealers that work on behalf of the Master Dealer to further increase sales and market penetration. The Master Dealer is responsible for paying commissions to the Sub-Dealers. 1. All Applicants must complete sections 1, 2, 3, 4 & 5. 2. Applicants not providing a Dunn & Bradstreet number in Section 1 must complete Section 3 3. All Applicants must complete section 7 except for the following: Corporate Applicants who have provided copies of their Articles of Incorporation; and Limited Partners of Partnership Applicants. 4. All Applicants must submit a completed Form W-9 (blank form provided at the end) 5. All Applicants must submit a voided check -or- a specification form with bank’s routing number and company’s account number (see section 5) 6. Attach your State Certificate of Resale for the state where equipment will be shipped Cingular Wireless 3 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  4. 4. Alliance Application Cingular Wireless Business Alliance Program Value Added Reseller The Cingular Wireless Value Added Reseller (VAR) Program provides access to Cingular network products and services enabling a VAR to sell and support wireless data solutions to the business and government markets. 1. All Applicants must complete sections 1, 4 & 6 2. Applicants not providing a Dunn & Bradstreet number in Section 1 must complete Section 3 3. All Applicants must complete section 7 except for the following: Corporate Applicants who have provided copies of their Articles of Incorporation; and Limited Partners of Partnership Applicants. 4. Attach your State Certificate of Resale for the states where SIM cards will be shipped and in which your data centers and call centers reside. Please include a copy of the following documents with your application: State Certificate of Resale (If required to complete section 4 of application) Articles of Incorporation (If company is a corporation) A Personal Guarantee Credit Information form may be required at CINGULAR WIRELESS’ sole discretion. If needed, a Personal Guarantee Credit Information sheet will be forwarded to the potential Alliance Dealer. Cingular Wireless 4 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  5. 5. Alliance Application Cingular Wireless Business Alliance Program SECTION 1: BUSINESS INFORMATION Company Information 1. Legal Business Name:       2. Doing Business As (DBAs):       3. Corporate Headquarters Location Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Number of years at Corporate Headquarters address:       4. Company Web URL:       5. Company WAP URL (if applicable):       6. Number of years in business:       7. Number of employees:       8. Federal Tax I.D. #:       9. Dun & Bradstreet #:      10. Type of Organization: Corporation* Sole Proprietorship Partnership Other If “Other,” please explain:       *Please attach a copy of your Articles of Incorporation 11. State in which incorporated or organized:       12. Is your company public? YES NO If YES, please indicate ticker symbol:       13. If public, please provide your company’s annual revenues:       14. Describe your company’s primary revenue model:       15. If not a public company, list top 4 owners and percentage of ownership: 1.            % 2.            % 3.            % 4.            % Cingular Wireless 5 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  6. 6. Alliance Application Cingular Wireless Business Alliance Program 16. If a Partnership, who is the General Partner?       17. If a Limited Liability Company, who is in control?       Questions 22, 23 & 24 are for statistical purposes only. Your answers to these questions will not be used in any way to determine your acceptance as a CINGULAR WIRELESS Alliance. 18. Small Business with less than 501 Employees Yes No 19. Woman Owned more than 51% Yes No 20. Minority Owned more than 51% Yes No 21. Has any owner or applicant ever been employed by CINGULAR WIRELESS? Yes No If “Yes,” provide details:       Contact Information 22. Primary Alliance Contact (for alliance relationship discussions) Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       23. Ship To: Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       State Resale Certificate # (for Ship-To Address State):       Please attach copy of this State Certificate of Resale Cingular Wireless 6 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  7. 7. Alliance Application Cingular Wireless Business Alliance Program 24. Bill To and Billing Contact: Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       25. Send Legal Notices To: Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Attention Name:       Attention Title:       E-mail Address:       Telephone Number:       Fax Number:       26. Send Commission Statements To (for DSP & Masters only): Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Attention Name:       Attention Title:       E-mail Address:       Telephone Number:       Fax Number:       27. Sales Contact (for field sales engagement) Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       28. Activations Contact (for performing activation processes) Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       29. Operations & Security Contact (primary contact for granting employee access to Cingular tools) Cingular Wireless 7 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  8. 8. Alliance Application Cingular Wireless Business Alliance Program Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       30. Technical/Product Development Contact (for network, device, and solution development) Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       31. Customer Care and Support Contact Contact Name:       Contact Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Contractual Information 32. Principle Signatory to contract (if application is accepted) Name:       Title:       33. Is your company, or any affiliate of your company, presently under contract to another wireless carrier? Yes No 34. Has your company ever been under contract to another wireless carrier? Yes No 35. If yes to either question 35 or 36, please list all carriers currently or in the past with which you have had a relationship.       36. Do any of the relationships described in #37 prohibit you from entering into an agreement with CINGULAR WIRELESS? YES NO 37. Do you currently have a contractual relationship with Cingular Wireless and/or AT&T Wireless Services? YES NO Cingular Wireless 8 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  9. 9. Alliance Application Cingular Wireless Business Alliance Program If YES, please provide details on the nature of the relationship and the key contact within Cingular Wireless:       38. Have any owner, applicant, or contact listed above ever been a Cingular employee YES NO If YES, please provide details on those that have:       Alliance Information 39. What are do you expect from an alliance with Cingular Wireless?       40. What value do you bring to an alliance with Cingular Wireless?       41. Do you currently work with any other wireless carriers? YES NO If YES, please provide details on the nature of the relationship:       42. Please list all other significant partnerships and alliances your company is currently engaged in:       Product Marketing, Sales, and Support Information 43. Name of your product/service:       44. Briefly describe your product/service:       45. Describe which business processes your product/service automates:       46. List what functions your product/service performs:       47. Describe how your product/service works with Cingular Wireless (include product description, product name, supported devices or modem types, operating systems, etc):      48. Describe your target customer (industry, size, etc.):       49. When was or will be your product/service launch date? Month:       Year:       50. Identify the planned geographic scope of your product availability: Single Market       Multiple Market       Nationwide       Internationally       51. What is your current install base for this product/service:       52. What percentage of your current base accesses your product/service from a wireless device?       53. What is your expected deployment of you product/service over the time periods provided: Cingular Wireless 9 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  10. 10. Alliance Application Cingular Wireless Business Alliance Program 90 days 180 days 1 year Eventually 54. What is your expected deployment of you product/service on wireless networks over the time periods provided: 90 days 180 days 1 year Eventually 55. What is your expected deployment of you product/service on the Cingular Wireless network over the time periods provided: 90 days 180 days 1 year Eventually 56. Please list all wireless devices that your product/service operates on?       For each product listed that is not sold by Cingular Wireless directly, please complete Section 6 of this document. 57. Please identify all wireless services that your product/service operates with? GPRS      EDGE       UMTS      SMS       MMS       GSM (Voice)       58. Does your product/service require that the device be able to “wake-up” and establish a connection based on a request from your data center? YES NO 59. Does your product/service require that the device be publicly addressable? YES NO 60. Does your product/service require that the device have an IP address that remains persistent (e.g. the same IP address) each time the device is connected to the network? YES NO 61. Please identify the estimated average monthly usage of these wireless services by your product/service? Data Usage (GPRS, EDGE, or UMTS)       SMS       MMS       GSM (Voice)       62. Please provide examples of how a wireless subscriber would use this application:       63. Who do you consider to be your key competitors? Please list competitors and applicable products: Cingular Wireless 10 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  11. 11. Alliance Application Cingular Wireless Business Alliance Program Competitor Name Product                                                 64. What differentiates your company from your competitors?       65. Do you plan on selling under the Cingular Wireless Government Service Agency (GSA) schedule to the Federal Government or the Cingular Wireless WSCA schedule to State Governments? (DSP & Masters only)) YES NO If YES, please respond to the following questions: Why do you want to sell under the Cingular Wireless GSA/WSCA?       Do you have an investment in/target government markets (i.e. dedicated government sales representatives, specific government related advertising, etc)?       What is your value add in the government space?       What is the projected portion of your total business to: Federal Government Customers?      % State and Local Customers?      % 66. Data Center Locations (location where interconnect with Cingular Wireless will terminate – VAR Only) Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Please list information on additional data centers on a separate attachment State Resale Certificate # (for Data Center State):       Please attach copy of all State Certificate of Resale where interconnects will terminate Cingular Wireless 11 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  12. 12. Alliance Application Cingular Wireless Business Alliance Program 67. Customer Care and Support Information (VAR Only – if wireless voice calls are received or sent from device to call center) Help Desk Telephone Number:       Customer Support Hours:       Email address for receipt of network outage notifications (VAR only)       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       State Resale Certificate # (for Customer Care State):       Please attach copy of this State Certificate of Resale Please list information on additional customer care on a separate attachment and attach additional State Certificate of Resale Cingular Wireless 12 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  13. 13. Alliance Application Cingular Wireless Business Alliance Program The undersigned declares and certifies that this Alliance Application contains true and correct information on the date stated. It is also understood that any false or misleading information provided on this application is grounds for immediate termination as a Cingular Wireless Alliance Dealer. No statements, written or verbal, furnished by Applicant to any employee of Cingular Wireless are binding on Cingular Wireless unless those statements are also contained in this completed application and are accepted in writing by Cingular Wireless. The execution of this application does not, in any way, obligate Cingular Wireless to grant Alliance Dealer status. If you are denied Alliance Dealer status, you understand and agree that Cingular Wireless will not disclose its reasons for this denial. In connection with this application for Alliance Dealer status, I authorize any third party to release information pertaining to the background or affairs of the company or its principal owners to Cingular Wireless or its affiliates. This application authorizes Cingular Wireless to obtain credit, employment, law enforcement, state licensing, and other background information from all entities that hold this information in connection with this application. Applicant Signature: Title: Print or Type Name: Date: Cingular Wireless 13 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  14. 14. Alliance Application Cingular Wireless Business Alliance Program SECTION 2: SALES OFFICES AND STORE LOCATIONS 1. Number of office/store locations:       2. In order to access all of Cingular Wireless’ automated alliance services; does/will each office/retail location have Internet Access? Yes No 3. If you answered “No” above, please explain why this is not possible.       4. Please list all office or store locations: (use the reverse side or attach separate list if needed) Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Attention Name:       Attention Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Attention Name:       Attention Title:       E-mail Address:       Telephone Number:       Fax Number:       Street Address:       Suite/P.O. Box:       City:       State:       Zip Code:       Country:       Attention Name:       Attention Title:       E-mail Address:       Telephone Number:       Fax Number:       Cingular Wireless 14 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  15. 15. Alliance Application Cingular Wireless Business Alliance Program SECTION 3: AUTHORIZATION FOR BANK RELEASE The undersigned authorizes the release of credit information to Cingular Wireless. Business Name:       Address:       Telephone Number:       Bank name:       Address:       Account Number:       Contact:       Telephone:       Authorized Signature: Date: Print Name: FOR BANK USE ONLY The above organization has applied and submitted an alliance application with Cingular Wireless. A credit reference is required for approval. We would appreciate your assistance in providing us with the information requested below. All inquiries will be handled in strict confidence. Account Number: Date Account Opened Average Monthly Balance: NSF checks in past 12 months: Cingular Wireless 15 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  16. 16. Alliance Application Cingular Wireless Business Alliance Program SECTION 4: BLANKET CERTIFICATE OF RESALE Date:       THE UNDERSIGNED CERTIFIES THAT ALL PROPERTY (DEFINED AS WIRELESS EQUIPMENT AND INCLUDING CELLULAR TELEPHONES AND CELLULAR TELEPHONE ACCESSORIES) IS PURCHASED FROM CINGULAR WIRELESS SOLELY FOR THE PURPOSE OF RESELLING THE PROPERTY AS TANGIBLE PERSONAL PROPERTY. Please attach a copy of your state “Certificate of Resale.” BUYER’S PERMIT #:       CERTIFICATE #:       COMPANY:       ADDRESS:       CITY:       STATE:       ZIP:       PHONE:       This certificate is considered a part of each order we place provided that each order contains our certificate number. This Certificate continues in full force and effect until revoked in writing. Signature: Date: Print Name: Title: Cingular Wireless 16 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  17. 17. Alliance Application Cingular Wireless Business Alliance Program SECTION 5: DIRECT DEPOSIT AUTHORIZATION FORM COMPANY (Please print or type clearly) Name:       Title:       Company Name:       d/b/a:       Address:       City       State       ZIP Code:       Phone:       SSN/Tax ID #:       BANK INFORMATION Bank Name:       Bank Address:       City:       State       ZIP Code:       Bank Phone:       Bank Account Number:       ABA Number (9 digit routing number):       Please enclose one of the following documents: • Voided check -or- • Specification form with bank’s routing number and company’s account number AUTHORIZATION I, _________________________, as an authorized signer for _________________________, authorize Cingular Wireless to deposit payments by electronic transfer of funds directly into the bank account listed above. Authorized Signature: Date: Print Name: Title: Cingular Wireless 17 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  18. 18. Alliance Application Cingular Wireless Business Alliance Program SECTION 6: DEVICE INFORMATION Please complete this Device Information form for each device not sold by Cingular Wireless to be used in conjunction with your product/service. Please note that this form is for the complete device, not for the wireless module. Devices containing approved wireless modules must go through separate PTCRB certification. Device Name and Model:       Integrated GSM Module:       Platform Type: PDA PC Card OEM Module Handset Other (describe) Services Supported: GSM Voice GPRS EDGE Cingular Wireless 18 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  19. 19. Alliance Application Cingular Wireless Business Alliance Program Cingular Wireless 19 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  20. 20. Alliance Application Cingular Wireless Business Alliance Program Bands Supported: 850 MHz 900 MHz 1800 MHz Cingular Wireless 20 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  21. 21. Alliance Application Cingular Wireless Business Alliance Program Cingular Wireless 21 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  22. 22. Alliance Application Cingular Wireless Business Alliance Program Features Support: SMS EMS SyncML Java WML browser xHTML browser HTML browser Bluetooth: profile: other: MS Class supported (i.e. MSC-10 for 4 slots down, 2 slots up):       GSM/GPRS hardware used: Vendor-developed module : 3rd party, Description:       GSM/GPRS Protocol stack used:       Testing Status: FTA Test Approval Date (PTCRB):       FCC Certification Date:       NSS IOT (Nortel) complete?       Date:       BSS IOT (SE/Nokia) complete?       Date:       Additional: Attached product brochure if available SECTION 7: PERSONAL DISCLOSURE STATEMENT Each person who has been designated as an owner or General Partner must complete this form. Please make additional copies as needed. Name:       Other Names Used:       Date of Birth:       Social Security #:       Drivers License No. & State:       Name of Business:       Title:       Ownership Interest (%):      Business Address:       Residence Phone:       Business Phone:       Residence addresses for the last 5 years (use back of form if necessary) 1. Street:       City       State       ZIP Code:       Number of years at this address:       2. Street:       City       State       ZIP Code:       Number of years at this address:       Cingular Wireless 22 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  23. 23. Alliance Application Cingular Wireless Business Alliance Program Have you or any co-owners or co-applicants ever personally filed bankruptcy or had an interest in any entity that has filed bankruptcy or sought protection under any federal or state insolvency against Cingular Wireless? Yes No Are there any judgments, claims or suits pending or unresolved against your firm, you personally, or against any co-owners or co-applicants listed in this application? Yes No Are there any pending or completed actions, judgments, liens or notice of liens or lawsuits to which you or any co-owners or co-applicants have been a party over the last five years? Yes No Have you or any co-owners or co-applicants been convicted, pled nolo contendere, adjudication withheld, or entered a directed diversion program for a crime, other than a minor traffic violation Yes No **If any of the above questions have been answered yes, identify the agency, court, names and addresses of all parties, and docket numbers for each such event on a separate sheet. I, , authorize Cingular Wireless, Inc. and its affiliates, officers, directors, and employees (collectively, the “Company”), to conduct an investigation of my background. This investigation may include obtaining reports regarding my credit and criminal history. I further authorize all persons, employers, companies, credit bureaus, state licensing, law enforcement and other governmental agencies having information about me to disclose the information to the Company or its agents; and I release the Company and each of those persons, employers, companies, credit bureaus, state licensing, law enforcement and other governmental agencies from any and all liability arising from any disclosure including any claims for negligence. Signature: Date: Print Name: Title: Cingular Wireless 23 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  24. 24. Alliance Application Cingular Wireless Business Alliance Program Cingular Wireless 24 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions
  25. 25. Alliance Application Cingular Wireless Business Alliance Program Cingular Wireless 25 Alliance Application Cingular Wireless Proprietary & Confidential Use Pursuant to Company Instructions

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