Applications Built with Delphi Prism Survey

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1. Name of your product

Name of your product

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2. Short description of your product

Short description of your product

3. Web site or web page for your product

Web site or web page for your product

4. Please provide the URL for a screen shot of your product if possible. You will also have the option to email a screen shot after you submit your information.

Please provide the URL for a screen shot of your product if possible. You will also have the option to email a screen shot after you submit your information.

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5. Which category of application (license) is it?

Which category of application (license) is it?

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6. Which version(s) of Embarcadero Prism or Delphi Prism did you use to develop this product?

Which version(s) of Embarcadero Prism or Delphi Prism did you use to develop this product? XE2

XE

2011

2010

2009

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7. What made Delphi Prism a good choice for developing this product? How did Delphi Prism make your development easier, save you time, or help you accomplish more?

What made Delphi Prism a good choice for developing this product? How did Delphi Prism make your development easier, save you time, or help you accomplish more?

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8. What do you like the most about Delphi Prism or what would you like to tell the world about Delphi Prism?

What do you like the most about Delphi Prism or what would you like to tell the world about Delphi Prism?

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9. Which industry primarily uses your product?

Which industry primarily uses your product?

Other (please specify)

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10. Please enter your information. We won't publish your email address or phone number or add you to any mailing lists.

Please enter your information. We won't publish your email address or phone number or add you to any mailing lists. Name:
Company Name:
Country:
Email Address:
Phone Number (optional):

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11. Can Embarcadero contact you about helping promote Delphi Prism in any of these additional ways:

	Yes	No
Joint case study highlighting your product and use of Delphi Prism	*Can Embarcadero contact you about helping promote Delphi Prism in any of these additional ways: Joint case study highlighting your product and use of Delphi Prism Yes	Joint case study highlighting your product and use of Delphi Prism No
Serve as a reference customer to speak with other potential customers	Serve as a reference customer to speak with other potential customers Yes	Serve as a reference customer to speak with other potential customers No
Serve as a customer reference for press articles and press releases	Serve as a customer reference for press articles and press releases Yes	Serve as a customer reference for press articles and press releases No
Providing a video testimonial	Providing a video testimonial Yes	Providing a video testimonial No
Participating in user or focus groups (in person, on phone)	Participating in user or focus groups (in person, on phone) Yes	Participating in user or focus groups (in person, on phone) No
Participating in beta tests	Participating in beta tests Yes	Participating in beta tests No

By submitting this form, I give Embarcadero permission to use the information for sales tools and marketing materials to help promote Delphi Prism. Embarcadero may also use a screen shot of my product to represent it. I understand that Embarcadero will not publish my email address or phone number.