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Product Inquiry and Distributor Inquiry Form

Thank you for your interest in BCM's products. Please fill out the form below and we will contact with you shortly.

* are required fields.

* Company Name:
* Full Name:
Department:
Job Title:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
Country:
* Phone: Ext:
If outside of USA, please type (country code) + (area code) + (Tel. no.).
Ex: (886) 2 82262345
Fax:
* E-mail:
* Website:
* Nature of your business: Distributor Manufacturer System Integrator Reseller
OEM VAR End User
Other, please specify:
* Please describe your current business line or applications: Embedded Computing Factory/Machine Automation
ATM/POS/Kiosk/Vending Machine Test & Measurement System
Internet Security Entertainment/Gaming
Enterprise Applications Transportation Management
Digital Video Surveillance
Others:
* Distribution channel: (Please check all that apply) Dealer Network System Integrator
Direct Sales to OEMs Direct Sales to End Users
Other, please specify:
* Number of employee:
* Product interested: (Please check all that apply) * BCM Product Name: For Example: MX965GME
Industrial Motherboard (Mini ITX, MATX, ATX etc)
Single Board Computers (3.5"/5.25" EBC) Barebones
Systems (with CPU, Memory, HDD)
OEM/ODM Design Motherboards/Systems
Computer-On-Module (System-On-Module)
Other, please specify:
When do you need the product?
* Annual Qty Forecast:
How do you know about BCM?
Other, please specify:
Other comments:

 
 
BCM is a Member of the Intel® Embedded and Communications Alliance (Intel® ECA). BCM is an Avalue Company. Avalue