Coupa App Marketplace App Provider Application Form First Name Last Name Title Email Company Website Please describe the benefit of your technology and the customer use case for integrating with Coupa Accept Coupa App Marketplace Agreement By checking this box, I, as an authorized representative of the company identified above in this application (hereinafter, such company shall be referred to as “Participant”), hereby confirm that Participant has reviewed the Coupa App Marketplace Agreement (“Agreement”) and hereby agrees to all the terms and conditions of the Agreement.