Company name:
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Country:
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If your product is an add-in card, please provide
the following information:

 
Add-in card product name*:

Optional ==> MOKO #:
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Optional ==> UART # (not all cards have this chip):
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Optional ==> ASIC # (not all cards have this chip):
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If your product is an enclosure device (Ether-Serial Link, HQ-ST Link, USB-Serial Link, DataTap, or Serial Port Splitter), please provide the following information:
Enclosure product name*:

General information
Purchased from:
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use for your purchase:
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