10/1/2007

Doc No: F-1-1a 06/15/2019

Doc. No. F-1-1

To: Blu-ray Disc Association

3855 SW 153rd Drive
Beaverton, OR 97003 USA
Fax: +1-503-644-6708
E-mail: agent@blu-raydisc.info

Application for Blu-ray Disc™ Logo License (Confidential)

Dear Sirs,

We, the undersigned, hereby apply for the Blu-ray Disc ™ Logo License. Please send us the Blu-ray
Disc™ Logo License Agreement form.

We represent that the following our ID information is correct and hereby agree that, upon our signing the
BD Logo License Agreement, we will be bound by the terms and conditions thereof.

Sincerely,
Signature: _________________________________________________

Name: ______________________________________________

Title: ______________________________________________

ID Information of the undersigned:

Name (Corporate Name)

Address
(Registered Office)

Telephone No.

Facsimile No.

E-mail Address

Name of Contact Person

Blu-ray Disc Association

E-mail: agent@blu-raydisc.info
 10/1/2007
Doc No: F-1-1a 06/15/2019
Doc. No. F-1-1

Main Business / Activities

Company Profile or Web Site (URL)

Purpose of our use of BD logo

Blu-ray Disc Association

E-mail: agent@blu-raydisc.info