NDA/SLA Request Form

Note: * Fields are required
Note: You are required to confirm the Company name and Participant contact are correct before submitting this form.
Participant Company Information (The party to the agreement)
* Full Legal Name of Client Company:
* Company Address Line 1:
   Company Address Line 2:
* City:
* Country:
   Zip Code:

Participant Contact Information (The contact person of Participant)
* Participant Legal Name:
   Authorized person who will sign the agreement on behalf of the participant company.
* Participant Corporate Title:
* Phone Number:
* Participant Email:
   Participant Contact Person
   (if different from above)

Distributor/Rep Contact Information
* Distributor/Rep Contact Name:
* Phone Number:
* Distributor/Rep Email:
* Lattice Semiconductor office to route this request to:

Lattice Sales Manager Information
*Lattice Sales Contact Name:
*Lattice Sales Email:

Type Of Agreement
* What type of agreement do you need?
NDA: Select NDA if Customer only needs LSCC NDA and/or an HDCP NDA.
License Agreements (Video Connectivity): Select License Agreements (Video Connectivity) to request an agreement for any Lattice Semiconductor software.
License Agreements (FPGA): Select License Agreements (FPGA)
You will receive the contents of this form in a confirmation email, after you click Submit.