Software Vendor Contact InformationName* Email* Phone Number*Company* Country Product Details: Product Name Product Version Detailed Description of the Payment Application/family of products.How the application is involved in Storing / processing or transmitting of Cardholder data (Card no., Expiry date, Cardholder name, Track data, CVV, PIN)?Is the application involved in authorization or Settlement? If Yes, please briefly explain how?* Yes No Type HereAre you selling/licensing this application to more than one customer?* Yes No Type HereDo you have Resellers and/or Integrators for the product? Yes No Operating System supporting the Application. Also mention all other applications supporting the payment application.Database Software supporting the payment application.What programming language is the application written in?Please provide the approximate lines of code within the application. Describe the typical entity that this product is sold to (for example, large, small, if industry-specific, Internet, brick-and-mortar) and vendor’s customer’s base. (e.g. market segment, big customer names).* By clicking on "Get Quote", I acknowledge receipt of the ControlCase privacy policy.Fields marked with an asterisk (*) are required.NameThis field is for validation purposes and should be left unchanged.
