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Agency Services (CKC CS)

Complete all applicable information and submit. A red asterisk denotes a required field.

First Name

Last Name

Company Name

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Email

Website Address

Target Regions

US / FCC

CA / ISED

EU / CE

UK / UKCA

Regulatory Needs

New Approval

Modification

Research

Type of Product

Radio - Finished Product

Non-Radio (EMC)

Module

Radio Product

Portable (<20cm to body)

Mobile (>20cm to body)

Multiple Radius

*Other agency services being requested, please fill out in the additional comments section below. (e.g. Gap Analysis, Notified Body Type Examination etc.)

Additional Comment

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ITAR Registered / TCB: US0103 / NB: 0976 (EMC & RED)

How did you hear about our web page?

800-500-4EMC (4362)

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Hours of Operation

Monday - Friday: 8:00am - 5:00pm
Saturday - Sunday: CLOSED

Evening and weekend shifts available upon request.

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