Eclipsa Audio Adopter Registration

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First

Last Name(Required)

Last Name

Email(Required)

Title

Company Name(Required)

Subsidiary of

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax

Applying For

Applying Choices(Required)

Decoding Device (e.g. TV, Soundbar)

Capture Device (e.g. microphone)

Encoding Tool (e.g. audio creating software)

Other device/product (e.g. tool)

I represent that I am submitting the information above and this request as an authorized representative of the company indicated above and that this company is interested in becoming an adopter of Eclipsa Audio.

In the event that an Adopter enters into multiple license agreements with Licensor, the maximum aggregate annual administration fee Adopter shall pay under all such license agreements shall not exceed US$10,000.00.