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.

The Sample Center is managed separately

from Zilog's Customer Support services,

and therefore requires a separate login.

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