Evaluation License Application Form

Evaluation License Application Form

1、Contact information
Company or Organization:	**
Contact person:	**
Address：	**
Postal code：
E-mail:	**
Telephone(Mobile)：	**
Fax：
Date you got it:
2、Agent / Dealer channel
Company or Organization:	**
Contact person:	**
Address：	**
Postal code：
E-mail:	**
Telephone(Mobile)：	**
Fax：
3、Device Information:
Serial Number:	**
Machine code:	**
Product Model：	**
Your comments：	**
	**No permitting for blank！

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