Zilog

Customer Registration Form
Please complete the following fields, then click the Submit* button. All registrations are subject to approval.*
Company Name:
Name:	*
Customer Type:
Username:	* [Maximum 25 characters]
Password:	* [Please enter password]
Verify Password:	* [Please enter password again for authentication]
Email:	*
Phone:
City:
Postal Code/Zip:	*
Country:	*

	Fields marked with an asterisk (*) are required.
Calculate the following equation and enter the result in the Answer field.