Design Registration Form

NIC Franchised Distributors

Register NIC design wins & receive price-protection

Part List

Design Location Information
NIC Distributor Name : Customer Name:
Submitted By : Address:
Address: City:
City: State:
State: Zip - Postal Code:
Phone: Phone:
e-mail: e-mail:
NIC Rep:    
 
Project/CEM Information
Status: Purchasing Contact:
Est. Production Date: Phone:
Project Description: Contract Manufacturer #1:
Project Name: Location:
Project Engineer: Contract Manufacturer #2:
Phone: Location:
 
Part Number Information
NIC Part Number Customer P/Ns

Quoted Price
from NIC

EAU Comments