200mm Prototyping Facility Inquiry Form

Please complete this form with as much detail as possible.

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Organization name:

Contact person first name:

Contact person last name:

Contact person professional title:

Contact person email address:

Contact person phone number:

Wafer size and substrate type:

Please describe your fabrication process:

Is your project wholly or partially funded by a foreign entity? [For information collect only not for screening.]

Yes

No

Do any non-U.S. citizens serve as members of your organization's board of directors (or similar governing body), officers, executive personnel, general partners, regents, trustees or senior management officials?

Yes

No

Please provide detail:

Questions or other information you would like to include: