 
 
 
                         DAP INTERNET ACCESS
 
 If you are already a member of any IBM Worldwide Developer Assistance
 Program and would like access to the "DAP Information Library" Internet
 machine please fill out the following four lines only, otherwise
 complete the entire form.
 
 DAP_ID_NUMBER:
 MEMBER_NAME:
 COMPANY_NAME:
 EMAIL_ADDRESS:
 COUNTRY:
 
 The preceding information is processed electronically. Failure to
 complete the form properly will result in a delay of access to the
 DAP Information Library Internet machine.
 
 
 
 
 
 ============================================================================
 
  IBM WORLDWIDE OS/2 DEVELOPER ASSISTANCE PROGRAM APPLICATION
  ___________________________________________________________
 
 
  First Name                          Last Name
             _________________________          _________________________
 
  Title
        ______________________________________________________________
 
  Company
            __________________________________________________________
 
  Street Address
                   _______________________________________________________
 
  City                                     State            Zip
        ___________________________________       _________      __________
 
  Province                            Country
            __________________________         ___________________________
 
  Voice Phone                             Fax Phone
               ________________________             ________________________
 
  Electronic Mail Address
                          __________________________________________________
 
  Are you currently a member of an IBM
  authorized developer program?               [_]  No      [_]  Yes
 
  If yes, Country                       Membership Number
                   ____________________                    ____________________
 
  What category of developer are you?
 
  +------------------------+-------------------------+------------------------+
  | [_]  In-house          | [_]  Commercial         | [_]  Shareware or      |
  |                        |                         | similar                |
  +------------------------+-------------------------+------------------------+
  | [_]  Personal          | [_]  Other              |                        |
  |                        |             __________  |                        |
  +------------------------+-------------------------+------------------------+
 
  In what type of business are you?
 
  +-------------------------------------+-------------------------------------+
  | [_]  Government                     | [_]  Educational institution        |
  +-------------------------------------+-------------------------------------+
  | [_]  Corporate                      | [_]  Small business                 |
  +-------------------------------------+-------------------------------------+
  | [_]  Consultant                     | [_]  Other                          |
  |                                     |             __________              |
  +-------------------------------------+-------------------------------------+
 
  What type of software do you primarily develop?
 
  +-------------------------------------+-------------------------------------+
  | [_]  Word Processing                | [_]  Spreadsheets                   |
  +-------------------------------------+-------------------------------------+
  | [_]  Database                       | [_]  Integrated/Workgroup           |
  +-------------------------------------+-------------------------------------+
  | [_]  Graphics                       | [_]  Desktop Publishing             |
  +-------------------------------------+-------------------------------------+
  | [_]  Accounting/Personal Finance    | [_]  Information Management         |
  +-------------------------------------+-------------------------------------+
  | [_]  Utilities                      | [_]  Communications                 |
  +-------------------------------------+-------------------------------------+
  | [_]  Games and Entertainment        | [_]  Device Driver                  |
  +-------------------------------------+-------------------------------------+
  | [_]  Office Automation              | [_]  CAD/CADAM                      |
  +-------------------------------------+-------------------------------------+
  | [_]  Development Tools              | [_]  Business Specific              |
  +-------------------------------------+-------------------------------------+
  | [_]  Network Management             | [_]  Other                          |
  |                                     |              __________             |
  +-------------------------------------+-------------------------------------+
 
  For which national language versions do you develop or translate?
 
  _____________________________________________________________________________
 
 
  What is the primary operating system or environment you develop under?
 
  +-------------------------------------+-------------------------------------+
  | [_]  OS/2                           | [_]  DOS (IBM, MS, DR)              |
  +-------------------------------------+-------------------------------------+
  | [_]  Windows 3.X                    | [_]  OS/400                         |
  +-------------------------------------+-------------------------------------+
  | [_]  Windows NT                     | [_]  MVS                            |
  +-------------------------------------+-------------------------------------+
  | [_]  UNIX  type?                    | [_]  VM                             |
  |                   __________        |                                     |
  +-------------------------------------+-------------------------------------+
  | [_]  DEC VMS                        | [_]  Other                          |
  |                                     |             __________              |
  +-------------------------------------+-------------------------------------+
 
  In what programming languages do you develop?
 
  +-------------------------------------+-------------------------------------+
  | [_]  C/C++                          | [_]  COBOL                          |
  +-------------------------------------+-------------------------------------+
  | [_]  Pascal                         | [_]  Assembler                      |
  +-------------------------------------+-------------------------------------+
  | [_]  Other                          |                                     |
  |             __________              |                                     |
  +-------------------------------------+-------------------------------------+
 
  What is the primary end user interface you develop for?
 
  +-------------------------------------+-------------------------------------+
  | [_]   OS/2 PM                       | [_]   Windows                       |
  +-------------------------------------+-------------------------------------+
  | [_]   X Windows                     | [_]   MOTIF Openlook                |
  +-------------------------------------+-------------------------------------+
  | [_]   SCO Open Desktop              | [_]   NEXT                          |
  +-------------------------------------+-------------------------------------+
  | [_]   Other                         |                                     |
  |              __________             |                                     |
  +-------------------------------------+-------------------------------------+
 
  What systems do you develop for?
 
  +-------------------------------------+-------------------------------------+
  | [_]   Workstation/PC                | [_]   Mainframe                     |
  +-------------------------------------+-------------------------------------+
  | [_]   Midrange                      | [_]   Other                         |
  |                                     |              __________             |
  +-------------------------------------+-------------------------------------+
 
  Do you have a CD-ROM device?
 
  [_]   No     [_]   Yes:   Brand & Model
                                          ______________________________
 
 
  If you are planning to buy a CD-ROM drive, what brand and model are you con-
  sidering, and when?
 
  _____________________________________________________________________________
 
  Please tell us about the OS/2 product that you are developing or planning to
  develop.  (Do not include confidential or proprietary information.)
 
  _____________________________________________________________________________
 
  _____________________________________________________________________________
 
  _____________________________________________________________________________
 
  We are collecting this information to better serve developers who are
  accepted into this program.   Return this form by mailing it to the
  Internet address wwdap@vnet.ibm.com or fax it to (407) 982-8962 or
  (407) 443-5214 or send it to:
 
      IBM Developer Assistance Program
      Internal Zip 5407
      PO Box 1328
      Boca Raton, FL 33429-1328
      U.S.A.
 
  Thank you!
 
