Iridium Short Term VAD - Set-up Form | Iridium Satellite Communications

Iridium Short Term VAD – Set-up Form

Complete this form to establish an equipment account to purchase developer kits and transceivers contained in the VAD Agreement

"*" indicates required fields

Unique ID

Date

Company Details

Company Name*

Company Address*

This address will appear on invoices and should match your agreement.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ship To Destination same as above?*

Yes

Company Name (Ship To Destination)

Ship To Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Orders & Shipping

Contact Name (Order Portal)*Please specify the individual in your company you would like to have access to place orders as well as to be contacted for orders and shipments. This individual will receive access to the Orders Portal and order acknowledgments and shipment advisements via email.

First Last

Title*

Email*

Phone*

Small Package Freight Courier*Please provide Iridium Satellite with a carrier (e.g., FedEx, DHL, UPS, etc.)

Account #*Please provide valid freight account #. This will be used for shipments of approximately 100 pounds or less.

Method*(Ex: Overnight, Economy, etc.) Please note you may change this information at any time, and you should always specify your requested carrier and shipment method on each purchase order you submit to Iridium.

Contracted for Equipment Purchase of (mark all that apply):

9603/9603 SBD

9523 LBT

9680 Edge

9690 Edge Pro

9640 Edge Solar

Technical Contact Name*Please specify the individual in your company you would like to have access to submit technical tickets during development. This individual will receive access to the Service Desk.

First Last

Technical Contact Email*

Country of Citizenship*

Invoice & Billing

Contact Name (Invoicing & Billing) #1*

First Last

Title*

Email*

Phone*

Contact Name (Invoicing & Billing) #2*

First Last

Title*

Email*

Phone*

Iridium for PartnersIridium for Partners (IFP) is the Iridium partner portal and serves as an online repository where partners can access valuable resources.

Contact Name (Iridium for Partner Admin)

First Last

Title*

Email*

Phone

Country of Citizenship*

Acknowledgement

By CHECKING the box below, the above named company agrees to comply with the terms and conditions outlined in the Iridium Value Added Developer Agreement, including NOT to manufacture, sell or market.

Agree

Name of Individual Completing Form*

First Last

Email of Individual Completing Form*

Phone

This field is for validation purposes and should be left unchanged.