Datasheet

125 kHz How to Order Guide - D00530, B.7

Corporate 1000™ Format - Request & Authorization Form

Corporate 1000 is a 35-bit card format that is developed specifically for use by individual end-user organizations. Organizations

must qualify, formally enroll and be accepted by HID Global Corporation.

The Corporate 1000 Format is offered to large, multi-location, and end-user organizations which use HID access control readers

and cards. In this program, the end-user has the flexibility to choose any access control hardware/software platform and any

HID System Provider. As the end-user utilizing the Corporate 1000 Program, fill in your company information in TABLE I.

Ensure all fields are complete for the primary and secondary (if desired) authorized contacts within your company.

TABLE I: Your Company’s Primary and Secondary Contacts

Information Primary Company Contact Secondary Company Contact

Company Name

Mailing Address

City

State/Province

Country

Zip/Postal Code

Contact Name

Title

Contact Signature

Phone Number

Fax Number

E-mail Address

Card numbers available within the Corporate 1000 format are 0 – 1,048,575.

Indicate the card number in which your first order should start: Enter start number here.

All card numbers following this number will be “blocked” from use. If you do not specify a card start number, your first order will

start at one (1). Should you require assistance, contact your systems provider or HID directly.

Added card security:

Invisible Ink Advantage

OVD Hologram Micro-fine Printing Signature Panel

Once accepted into the Corporate 1000 Program, HID shall grant a royalty free license to use the Corporate 1000 Format within

your organization. Please sign below to enroll in this program and to confirm your acceptance of the License Agreement.

ACCEPTANCE OF HID CREDENTIAL PROGRAM LICENSE AGREEMENT

The undersigned party hereby accepts and agrees to be bound by the terms and conditions of the HID Credential Program.

License Agreement is located at

www.hidglobal.com/pdfs/credential_license.pdf, pursuant to which a license is granted to the

undersigned party authorizing the use of certain credential formats in connection with participation by the undersigned in the

HID Corporate 1000 Program.

Dated:

Authorized Signature : X

Company Name :

Contact Name:

Title :