PHPoC User Card Application
Please fill out the below form to receive PHPoC User Card.
Note that it may take few months to receive the card.
Email address *
1. Name : *
Your answer
2. Company name :
Your answer
3. Phone number :
Your answer
4. MAC Address on your product (Start with 0030F9) : *
Your answer
5. Address to receive PHPoC User Card : *
Your answer
6. Would you like to receive latest news on PHPoC? *
7. Collection and use of personal information *
We are committed to taking all possible precautions to protect your contact information, and all other information submitted through this form. Your personal information will not be shared with anyone without your knowledge and permission. (※PHPoC User Card cannot be provided upon your selection of "Disagree".)
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