Request an Account on Pharos - The Quantum Design Digital Library

If you are a Quantum Design customer or other affiliate, you may use this form
to obtain an account.

After filling out this form, you will recieve an automated email asking you to confirm
your email adress. After your email is confirmed, your account request will be
reviewed by a Pharos System Administrator and you will be notified when your account
request has been approved or declined.

First Name:	*
Last Name:	*
Company/Institution:	*
Tel (with Area Code):
Fax:
Email:	*
Verify Email:	*
Login Id:	*
Password: At least 7 characters, no spaces.	*
Verify Password:	*
User Type describe yourself	-- select one -- Customer QD Representative QD Employee *
* = Required Field