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Franchise partner board request form

IMPORTANT! You cannot apply for any development boards unless you have registered and qualified for board club membership. If you have not yet registered Apply now

Only one board per request form is permitted.

Five easy steps to ordering your board:

1. Enter your name and PIN
2. Select a Franchise board
3. Tell us where you heard about the board you are applying for
4. Tell us your project details
5. Submit your request

1. Members login

Full name *
Your PIN *

2. Select a franchise partner board

Manufacturer of board *
Board Name / Part no. *
Daughterboard required (if applicable)
FTM Issue Date (if applicable)
FTM Response Number (if applicable)

3.Where did you hear about the board you are applying for?

Magazine Please Select.. A&V Elettronica EDN Europe EDN Europe Electronica Electronics Weekly Electronic Product Design Elektronik Elektronik Praxis Elettronica Oggi EO News FTM Markt & Technik New Electronics Technologies Advert Select.. CrossBow LongBow PowerDrive PowerNet Date Select.. Sep 10 Oct 10 Nov 10 Dec 10 Jan 11 Feb 11 March 11 April 11 May 11 June 11 July 11 Aug 11 Sep 11 Oct 11 Nov 11 Dec 11 Other Select.. my-boardclub.com Embedded World Sales Rep Seminar Search Engine Recommendation Electronica 2010

4. Your project details

Description of application
Projected production volume
Projected production date

5. Submit form