*First Name: *Last Name: *Job Title: *Company: Department: *Address: *City: State / Province: *Zip Code: *Country: Choose One Below AFGANISTANALBANIAALGERIAARGENTINAARMENIAAUSTRALIAAUSTRIAAZERBAJIJNBAHRAINBANGLADESHBELARUSBELGIUMBHUTANBOLIVIABRAZILBRUNEIBULGARIABURMACAMBODIACANADACHILECHINACOLUMBIACOSTARICACROATIACYPRUSCZECH REPDENMARKDOMREPUBECUADOREGYPTEL SALVADOESTLANDESTONIAFINLANDFRANCEGEORGIAGERMANYGHANAGREECEGUATEMALAHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISRAELITALYJAPANJORDANKAZAKHSTANKOREAKUWAITLAOSLATVIALEBANONLIECHTNSTNLITHUANIALUXEMBOURGMALAYSIAMALTAMEXICOMOLDAVAMONGOLIAMOROCCONEPALNETHERLANDNEWZEALANDNICARAGUANIGERIANORWAYPAKISTANPANAMAPARAGUAYPERUPHILIPPINEPOLANDPORTUGALPUERTO RICOROMANIARUSSIAS AFRICAS ARABIAS KOREASERBIASINGAPORESLOVAKIASLOVENIASPAINSWEDENSWITZERLNDSYRIATAIWANTHAILANDTRINIDADTURKEYTURKMENISTUAEUKUKRAINEURUGUAYUSAVENEZUELAVIETNAMW INDIESYUGOSLAVIAOther *Phone: FAX: *E-mail:
2) * What is your Xilinx Student Edition serial number? (For example, P10000042112A)
3) *Which version of Xilinx software are you requesting for your free Graduation Gift? Choose One BelowDS-FND-BAS-PC - 'Foundation Base' for the PC, valued at $495 USD DS-ALI-BAS-PC - 'Alliance Base' for the PC, valued at $495 USDDS-ALI-BAS-WS - 'Alliance Base' for the Workstation, valued at $750 USD Please check all that apply 4) Do you currently use PLDs for? Production Prototyping 5) Do you currently use Xilinx products/software? Yes No 6) Have you used or specified FPGAs or CPLDs from the following companies? Actel Altera Lattice Lucent Vantis 7) When will your next design begin? 1 Month 3 Months 6 Months More than 6 Months Unkown 8) Do you currently use any of the following CAE Design Environments?? Cadence Exemplar Mentor Graphics Model Tech OrCAD Synplicity Synopsys Viewlogic Other, Please specify :
5) Do you currently use Xilinx products/software? Yes No
6) Have you used or specified FPGAs or CPLDs from the following companies? Actel Altera Lattice Lucent Vantis
7) When will your next design begin? 1 Month 3 Months 6 Months More than 6 Months Unkown
8) Do you currently use any of the following CAE Design Environments?? Cadence Exemplar Mentor Graphics Model Tech OrCAD Synplicity Synopsys Viewlogic Other, Please specify :
