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Matrox Video for Windows Software codec registration form

Information submitted is confidential and will only be viewed by Matrox.

First Name
Last Name
Company
Address
City
State/Province
Zip/Postal code
Country
Telephone Ext.
(including country and city codes)
Fax
(including country and city codes)
E-mail
What is your primary application area?
What software are you using or planning to use for this application?
What hardware or system are you using or planning to use for this application?
What computer platform are you currently using?
How would you characterize your business?
Do you currently own a Matrox DigiSuite product?
Yes No
If yes, please tell us the name of your dealer:
Would you like a Matrox sales representative to contact you?
Yes No
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