Request For Access To Note Holder Secure Site

Registration Requirements

This form is only for the use by holders of, prospective investors in or market makers in connection with the 8.25% Senior Notes due 2019 (the "Notes") of CommScope, Inc. ("CommScope"). Please use this form to request access to the secure website containing confidential information to be provided under the Indenture governing the Notes.    By requesting access to this data you represent to and covenant with CommScope that:

1) you (a) are a holder of the Notes, a beneficial owner of the Notes, a prospective investor in the Notes or a market maker and either a "qualified institutional buyer" (QIB) as defined in Rule 144A of the Securities Act of 1933, as amended (the "Securities Act"), or not a "U.S. person" as defined in Rule 902 of the Securities Act; or (b) currently are or intended to be a market maker with respect to the Notes.

2) you will not use the information in violation of applicable securities laws or regulations; you will maintain the strict confidentiality of such information and

3) you will not communicate the information to any other any individual, corporation, partnership, limited liability company, joint venture, association, joint stock company, trust, unincorporated organization, government or any agency or political subdivision thereof or any other entity (each a "Person"); and

4) you are not a Person or an affiliate of a Person that (a) is principally engaged in a similar business of CommScope or (b) derives a significant portion of its revenues from operating a similar business of Commscope.

Your request will be processed promptly. If you have questions, please email CommScope at investor.relations@commscope.com or contact Mark Huegerich at 828-431-2540.

Please provide your information below.  * indicates a required field
* First Name:
* Last Name:
* Street Address 1:
Street Address 2:
* City:
* State:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesse Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* ZIP Code:
* E-mail Address:
* Phone Number:
* Description of Business:
* Type of Business Organization:	Select Corporation Business Trust Limited Partnership Other
* Are you a:	Select Broker-Dealer Holder / Prospective Purchaser
Comments:
	I have read the registration requirements and am authorized to request this information. By clicking the submit button, I accept the terms, I hereby represent that I have read this certification, understand its terms, and agree and intend to be legally bound by them. I acknowledge that, in providing me access to and use of the Information, CommScope has relied on my agreement to be bound by the terms of this certification.