Become a Member - Interconnect Devices, Inc.

Email Us
Call Us: 913-342-5544

Online Membership Application

Please complete all the fields below to apply for membership to the IDI Web Site. Membership will grant you access to the personalized myIDI portion of the web site. There you will be able to check product availability, create personal bookmarks, manage an e-mail addressbook, and even chat with others in the industry! Once you have placed an order, you will be able to retrieve pricing and availability information as well.

CONTACT INFORMATION

*First Name:

*Last Name:

*Company Name:

*Mailing Address:

(Street Address)

,
(City , State/Province , Zip )

(Country)

*Work Phone:

Fax:

*Email:

*Primary Probe Application:

Printed Circuit Board Test
Semiconductor Test
OEM
Other

EXTENDED INFORMATION

Bill-To Address:
If different than Mailing Address.

(Street Address)

,
(City, State/Province, Zip)

(Country)

Ship-To Address:
If different than Bill-To Address.

(Street Address)

,
(City, State/Province, Zip)

(Country)

Have you ever purchased from us before, online or offline?

Yes
No

Order Tracking View Level:
Please select the scope for which you may track your organization's past orders.
I may view:

All Orders Placed by Me

All Ship-To Address Orders

All Bill-To Address Orders

YOU ARE RESPONSIBLE FOR PROVIDING TRUTHFUL AND ACCURATE INFORMATION. If you are not authorized to view orders placed by others in your organization, please DO NOT choose "All Ship-To Address Orders" or "All Bill-To Address Orders" above. IDI is NOT responsible for inaccurate information provided on this application or any repercussions resulting from inaccurate information.