Disty Registration (DR) Form

Status RSM: Pending

Status: Pending

Manufacturer

Manufacturer Name

C.C To *

Registration Number

Registration Approval date

Registration Expire date

Inc quote number

Distributor Information

Distributor *

Disty Contact *

City

Zip Code

Submit Date

Email *

State

Country

Sunon Sales Rep Information

Rep. Company Name

Rep. Contact

Email Rep. Contact

Rep. Salesperson

Email Rep. Salesperson

Phone Rep. Contact

Phone Rep. Salesperson

End Customer Information

Company Name *

Address

City

Zip Code

Gold customer disty registration

Disty Registration Number

Contact Name *

Email *

State

Country

Project Information:

Project Number or Name *

Project Status *

Production Date

Application Code *

Manufacturing Location

CM / EMS Name

CM / EMS Location

CRM Opportunity ID:

Competition:

Competitor 1

Comp. P/N

Comp. Price

Competitor 2

Comp. P/N

Comp. Price

Sunon Part Number:

Part Number *

Disty Target Cost ($USD) ?

Estimate Annual Usage *

Terms (Sunon Use Only)

Part Number

Disty Target Cost ($USD) ?

Estimate Annual Usage