BCM Motherboard Selection Questionnaire



[pic] |BCM Advanced Research

11 Chrysler, Irvine CA 92618 USA

949.470.1888 | | |BCM Motherboard Selection Questionnaire

Please complete this form and e-mail back to BCMSales@. You’ll be contacted shortly.

C* are required fields. Thank you.

|Company: * | |

|Your Name: *  | |

|Department: | |

|Title: | |

|Address 1: *  | |

|Address 2: | |

|City: *  | |

|State: *  | |

|Zip Code: *  | |

|Country: | |

|Phone No.: *  | |

|Fax: | |

|E-mail: *  | |

|Website: *  | |

*( (1) Nature of your business:   [pic]Distributor   [pic]Manufacturer   [pic]System Integrator   [pic]Reseller   [pic]OEM   [pic]VAR   [pic]End User   Other, please specify: [pic]

(2) Please describe your current business line or applications:   [pic]Embedded Computing   [pic]Factory/Machine Automation   [pic]ATM/POS/Kiosk/Vending Machine   [pic]Test & Measurement System   [pic]Internet Security   [pic]Entertainment/Gaming   [pic]Enterprise Applications   [pic]Transporation Management   [pic]Digital Video Surveillance  

(3) Distribution channel: (Please check all that apply)   [pic]Dealer Network   [pic]System Integrator   [pic]Direct Sales to OEMs   [pic]Direct Sales to End Users   Other, please specify: [pic]

(4) Number of employee:   [pic]* (

Please circle your selections or fill in requirements

EAU:

Form Factor: ATX uATX mini-ITX 5 ¼” 3 ½” ETX Other(specify)

CPU Brand: Don’t care Intel AMD VIA Geode

CPU Type: Don’t care Requirement: (Quad, Dual, P4, Celeron, Pentium M, C7,..)

CPU Speed: Don’t care Minimum Requirement: GHz

Chipset: Don’t care Desktop: Q45 Q35 Q965 945G 915G 865G 875 845G

Notebook: GME965 945GME 915GME 855GME/852GM

Other .

Number of Slots: PCI-E: x1 x4 x16 PCI: ISA: .

Display: VGA TTL LVDS DVI HDMI TV-Out Size of Panel: .

Power Input: DC ATX

System Fanless: Yes No

Other requirements: (Fill in these if you know)

Memory Slots : . Maximum memory size : .

Gigabit LAN: .

10/100 LAN: .

COM Port: .

USB: .

GPIO: .

CF: .

PCMCIA: .

Mini-PCI: . Mini-PCI-E : .

SATA: PATA (IDE): .

RAID: .

AGP: .

TV-Out Type: PAL NTSC

Please list any other special requirement below:

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