Design-Kit Request Form

Foundry *
Technology Process *
CAD Software
Name *
     Version *
Institution *
Department
Website *
Activity University Research Industry
SHIPMENT ADDRESS
no P.O. Box
Address *
ZIP Code *
City *
State
Country *
If not in the list
LEGAL CONTACT

responsible person who will sign the Confidentiality Agreement, person
duly authorised to execute the agreement
Title *
First Name *
Last Name *
Position *
Phone *
Fax *
E-Mail *
TECHNICAL CONTACT
Title *
First Name *
Last Name *
Position *
Phone *
Fax *
E-Mail *
Technical specifications of your project *
Application area of your project *
Verification *
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Verification image



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