Project Request Form  
     
  Distributor *    
Contact Last Name *    Contact First Name *  
  Phone Extension  
  Email *      
  Project Name *    
End User or SI *  
  KeyMan Last Name *   KeyMan First Name *    
Phone *   Email *
  Project Territory *      
Application Field *  
Connected Devices & System Structure(including OS) *  
Main Model * Total Quantity *  
  Components  
  Shipment Forecast * Shipment Date/s *  
         
 
Project Competition Competitor1 Competitor2 Competitor3 Competitor4
Company
Product
Price
Other Information
 
     
  Support needed from IEI(Please give detail information)  
 
Hardware
Software
Price
Other
 

                                                                                                            

Remark:
1. The validity of the project registration is 3 months.
2. IEI protects the confidentiality of above information within the company.
3. IEI reserves the right to reject application if registered repeatedly, or incorrectly, or incompletely.
4. If necessary, IEI reserves the right to contact SI or end user directly to verify project status.