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Name	Mr. Ms.
Company Name
Title
Contact Phone	ext.
Contact Fax
E-mail Address
Postal Address	Country
Services	Product Design Verification Test		Compliance Program
	Outsourced / Extension Testing Lab		Incountry Field Test
	OEM/ODM Qualification Test
Logo Compliance Program	DLNA	Wi-Fi	UPnP
	USB	ExpressCard	PCI Express
	HDMI	sRGB	CCX
	Windows Vista	WHQL	xD-Picture Card
	SATA	ImageLink	SmartMedia
	DisplayPort	Allion HD	PlaysForSure
	1394 (Firewire/iLink)	PictBridge
	Others
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