European Medical Device Manufacturer Free Subscription

	*European Medical Device Manufacturer* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *European Medical Device Manufacturer*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: Europe

1.	*Do you wish to receive a FREE subscription to European Medical Device Manufacturer?*

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First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Dept./Div.:
City:
Postal Code:
Country:
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Email:
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Yes, please auto-fill my contact information for other publication qualification forms.

2.	Please tick the category that best describes your company. (select only one)

Manufacturer of Finished Medical Devices Provider of Subcontracting Services

Manufacturer of In Vitro Diagnostics Manufacturing Consultant

Manufacturer of Dental Implants, Instruments and Systems Government/Academic

Manufacturer of Pharmaceuticals Others Allied to the Field (please specify)

3.	Please tick the category that best describes your job function. (select only one)

Product Design Engineering (including Product Design Engineering management)

Project Engineering (including Project Engineering Management)

Research and Development

Production/Manufacturing (including Production/Manufacturing Management)

Process Engineering (including Process Engineering Management)

Procurement/Specifying/Materials Management/Inventory Control

Quality Assurance/Quality Control

Regulatory/Legal Affairs

General/Corporate Management

Consultant

Other (please specify)

4.	How many employees in your company? (select only one)

1-24 100-249

25-99 250+

5.	Which of the following products do you recommend, specify, or purchase? (select all that apply)

Components/Products Manufacturing Services

Disposables (inc catheters, pumps, seals, syringes, connectors, guide wires) Assembly

Dental Products Full Service Manufacturing

Diagnostic Kit Components Electronics Manufacturing Services

Metal Parts Metal Fabrication

Plastics Forming (inc moulding & extrusion)

Consulting

Regulatory Materials

Manufacturing Plastics

Business Development Ceramics

Translation Services Metals

Adhesives

Computing Coatings

Embedded Systems Films

Software

Packaging

Design and Research and Development Services Packaging Equipment

Design Engineering Packaging Materials

Electrical Systems/Subassemblies Packaging Services

Product Design and Development

Prototyping/Rapid Prototyping Printing/Bar Coding

Printing/Bar Coding Equipment

Electrical and Electronic Components Printing/Bar Coding Materials

Cables and Connectors Printing/Bar Coding Service

Motors

Power Supplies/Batteries Sterilisation

Sensors & Switches Sterilisation Equipment

Sterilisation Services

Filters

Testing

Manufacturing Equipment Testing Equipment

Adhesive-Curing Equipment Testing Services

Assembly Systems

Automation Systems Tubing

Converting Equipment Metal

Metal Fabrication Plastic

Plastics Processing (inc moulding & extrusion) Tubing Equipment

Other (please specify)

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