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Manufacturer's Designator Code Request Form


The following information is required to process the Manufacturer's Designator Code assignment.


Fields marked with * are required.

INDIVIDUAL INFORMATION
Name: *
Phone: *
Fax:
Email: *
Enter in lower case
COMPANY INFORMATION
Company Name: *
Software CM Group:
Mail Stop:
Address: *
 
City: *
State: *
Postal Code: *
Country: *
Preferred Code:
Note: If your preferred code is already assigned, we will contact you to negotiate an alternate code.

NOTE: The submitter will receive both an immediate confirmation and an email generated confirmation of data submitted. If an immediate confirmation is not provided upon clicking submit, please close your browser and submit the information again.