MEMRY CORPORATION QUALIFICATION FORM

MEMRY CORPORATION QUALIFICATION FORM -

3 Berkshire Blvd. Bethel, CT 06801 — Phone (203) 739-1100

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DESIGN APPLICATION INFORMATION:

Medical Commercial Describe device:


Status: Existing New Product Concept

COMPETITIVE STATUS
Have you considered a Memry competitor? Yes No
If you have considered a Memry competitor, what company have you considered?

If you have utilized a Memry competitor in the past, what was the determinant factor in your choosing that company over Memry?

Technical Capabilities
Service
Pricing
Why switch to Memry?


Have you considered alternate technology? e.g. stainless, plastic
Please explain:

PERCEIVED BENEFIT
What is the perceived advantage of using NiTi for your design/application?

What is the perceived advantage of using Memry to manufacture your concept/design?


PRICE LEVELS
What is expected price point from Memry?
What is expected selling price to market?

STAGE OF DEVELOPMENT
R&D Prototype Builds
Timing:
Quantity:
Clinicals:
Type (e.g. safety, multi-site):
Timing:
Location: Europe United States Others
Quantity:
Launch:
Timing, including ramps:
Quantity:
Expected "full out" market share, including Timing:


FINANCIAL
Funded: Yes No Full Partial
Timing:
Who controls/decides fund allocation?
Investors CEO Purchase Agent

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