US: Partner API Integration Discovery Form

Company Name*

The company that will own the partner key.

Product URL*

What is the URL for your product?

Technical Contact First Name*

Technical Contact Last Name*

Technical Contact Email*

What is the use-case for this integration? Describe your technology and why it is valuable.*

How many total customers do you have currently?*

How many of those customers are using BLAZE?*

What state(s) do you operate in?*

Who are your competitors?*

How are you funded?*

How long has your product been live in the market?*

What is your cost to the customer?*

What data do you anticipate needing and how do you plan on utilizing it?*

Do you plan on aggregating or anonymizing the data? Serving it back to any public sources or other customers?*

What type of revenue share do you offer?*