Company name: Address 1: Address 2: City: State: Zip Code: Contact Person: Job Title: Phone: Email: If the shipping address is different than the above, please provide the shipping address and contact information for the primary person who will be using the Developer Kit. Tester Name: Shipping Address 1: Shipping Address 2: Shipping City: Shipping State: Shipping Zip Code: Phone: Email: My company is a supplier of: What market/markets does your company serve? What OS(es) does your product/solution/service support? (Indicate all that apply.) How does your product/solution/service interface with the hard disk drive? What is the nature of your interest in Advanced Format and/or 4KB/sector technology? What impact, if any, does the HDD 4KB/sector format have on your customer base? What specific area(s) of concern(s) and/or testing do you expect to address/conduct with your Developer Kit? How much time do you estimate your 4KB/sector readiness testing will take? How did you learn about 4KB/sector technology? How did you learn about the IDEMA Advanced Format Developer Kit program? Which HDD(s) do you need in your Developer Kit and how many units do you require of each to conduct your readiness testing? Note: While we encourage the return of Developer Kit HDDs to IDEMA to ensure a supply of product to other Advanced Format readiness testers, return shipping costs are at your expense. As a result, return of Developer Kit HDDs is optional. Your Name: Job Title: Date:
