Account and Contact Information
Licensing Contact
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Name *
Title
Company Email *
Telephone *
Company Information
Legal Company Name *
Company Website
Street *
City *
State/Province *
Country *
Postal Code *
VAT Nr.
Parent Company Information
Parent Company Information
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Is the company a subsidiary of another company *
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Parent Company Name *
Street *
City *
State/Province *
Country *
Postal Code *
Public Trading Information
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Is the company publicly traded *
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Stock Exchange Name *
Stock Ticker or Number *
Market and Technology Information
Market and Technology Information
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Market Segment *
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Utilization of Dolby Technology *
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Market Technology 1 *
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Market Technology 2
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Other Technology
Consumer Product and Implementation Information
Consumer Product and Implementation Information
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What brand name do you use? *
Product Name? *
Product Description *
Planned Launch Date *
How many units of each product do you estimate producing over the first year? *
Which implementations are you planning to use in your products?
Implementation type
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Implementation Vendor
Implementation Part Number
In which countries do you plan to sell the product(s)? *
Where will the products be tested?
Do you plan to have a third party manufacture your product? *
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No
Please provide the name of the third party *
What brand name do you use? *
Implementation Name? *
Planned Launch Date *
Implementation type
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How many units of each implementation do you estimate producing over the first year?
In which countries do you plan to sell the implementation? *
Where will the implementation be tested? *
Do you plan to have a third party manufacture your implementation? *
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Yes
No
Please provide the name of the third party *
Please confirm the names of your fabrication and assembly house *
Please confirm the country location *
Are they a subsidiary? *
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Yes
No
Section B: Implementation Information
Implementation Name? *
Implementation type *
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How many units of each implementation do you estimate producing over the first year?
Please confirm the names of your fabrication and assembly house *
Please confirm the country location *
Are they a subsidiary? *
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Yes
No
Please confirm how the implementation will be used? *
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In which countries do you plan to sell the implementation? *
What brand name do you use? *
Product Name? *
Product Description *
Planned Launch Date *
In which countries do you plan to sell the product(s)? *
Financial Statements
Financial Statements
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DESCRIPTION: Please attach audited financial statements for your company's most recent fiscal year end. Dolby certifies that these financial statements will be held in strict confidence and will only be used for evaluation of creditworthiness.
Attach File:
NDA Acknowledgement Agreement
NDA Acknowledgement Agreement
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DESCRIPTION: You hereby acknowledge and confirm that the licensing information you are requesting contains sensitive information about Dolby's licensing practices and pricing policies. You hereby agree that any and all information supplied to you be Dolby pursuant to the license application process, including but not limited to information regarding Dolby's standard licensing terms and conditions, pricing information, patent lists, product specifications, licensing deliverables, and product road maps, is, and shall remain, confidential and proprietary to Dolby. You may not disclose any such Dolby confidential information to third party or exploit any Dolby confidential information without Dolby's prior written permission. Please select the "I AGREE" checkbox to acknowledge your acceptance of these terms and continue your application process.
I AGREE THAT THE INFORMATION PROVIDED IS COMPLETE AND ACCURATE *
E-Signature: Print Name *
Print Date
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