| |
| 1. | Do you wish to receive a FREE subscription to Electronic Products? |
Yes
No
| 2. | In what format would you like to receive Electronic Products? (select only one) |
Print
Digital
(The Digital Edition is served using a simple on-line interface making it easy to access, navigate and view the issues. The issues are received immediately upon production (no wait for mail delivery), are in pristine condition, and are exact replicas of the printed copies.)
OPTIONAL HOME DELIVERY ADDRESS
Please mail my copy to my Home:
Yes
No
| | What is the approximate number of employees in your company? (select only one) |
Yes, please auto-fill my contact information for other publication qualification forms.
| 3. | What is the PRIMARY end product (or Service performed) at this location? (select only one) |
| Computers & Computer Systems |
Avionics, Marine, Space & Military Electronics |
| Computer Peripherals: disk drives, terminals, printers, plotters |
Government & Military Agencies |
| CAE/CAD/CAM Systems |
Automotive and Other Ground Vehicles |
| Software Manufacturer/Developer |
Consumer Electronics & Appliances |
| Computer System Integrator |
ICs and Semiconductors |
| Office & Business Machines |
Other Components, Materials, Hardware, and Supplies |
| Communications Systems & Equipment |
Electronic Sub-Assemblies (boards, modules, hybrids, and power supplies) |
| Commercial/Residential Security/Surveillance Systems |
Independent/Academic Research & Development Laboratory |
| Industrial Controls, Systems, Equipment & Robotics |
Technical/Engineering Consulting Firms |
| Electronic Instruments, ATE Systems, Design & Test Equipment |
Others Allied to the Field (please specify) |
| Medical Electronic Equipment |
|
| 4. | What is your Principal Job Function? (select only one) |
| 5. | Is your company a contract manufacturer/Electronic Manufacturing Service Provider (EMS)? |
Yes
No
| 6. | Number of Employees at this Address: (select only one) |
| 7. | Which of the following products, if any, do you authorize, recommend or specify in your job? (select all that apply) |
 |
| 8. | Please check the publications below that you receive personally addressed by mail: (select all that apply) |
| 9. | Which of the following on-line sites do you access for info on technology, products, services and market news? (select all that apply) |
| 10. | EEM is sent FREE annually to a select number of ELECTRONIC PRODUCTS subscribers. |
Check here if you DO NOT want to be considered for such a FREE selection of the next edition of EEM.
| 11. | Check here to receive email notices of FREE online Webcasts. |
Yes
| 12. | Check here to receive email newsletters from Electronic Products. |
Yes
| 13. | In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the state in which you were born. |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
Yes
No
| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
Yes
No
| Related FREE Offers from TradePub.com: Check those you wish to receive. |
| | How would you prefer to receive Offshore Engineer? |
Print
Digital
| | Foreign Phone: (if not USA) |
Please include city and/or country code if outside USA
| | Foreign Fax: (if not USA) |
Please include city and/or country code if outside USA
| | By providing your email address you are granting Atlantic Communications permission to contact you regarding your subscription and other product offerings. May Atlantic Communications contact you about other 3rd party offers for email? |
Yes
No
May Atlantic Communications contact you about other 3rd party offers for fax?
Yes
No
| | Do you recommend or approve the purchase of equipment or services? (select all that apply) |
| | What is your main job function? (select only one) |
| Executive & Senior Mgmt (CEO,CFO, COO, Chairman, President, Owner, VP, Director, Managing Dir., etc) |
| Engineering or Engineering Mgmt |
| Operations Management |
| Geology, Geophysics, Exploration |
| Operations (All other Operations personnel, Dept Heads, Supv., Coord., & Mgrs) |
| Other (please specify) |
| | Which of the following best describes your company's activity? (select only one) |
Please specify for Other:
| | Which of the following best describes your personal area of activity? (select only one) |
Please specify for Other:
| | In order to verify your request for this publication, without the availability of a signature Atlantic Communications LLC's audit bureau requires that they ask a personal identifying question. This information is used solely for the purpose of auditing your request. What day of the month were you born? |
| | Which of the following best describes your industry? (select only one) |
| | To verify your request, what day of the month were you born? Your response will be kept strictly confidential and only released to the official audit bureau on request. |
| | Business: (select only one) |
Please specify for Other:
| | Job function: (select only one) |
Please specify for Other:
| | Business served: (select all that apply) |
| | Finishing operations performed: (select all that apply) |
| | Number of employees at your site: (select only one) |
| | What is your company's primary finishing technique? (select only one) |
Plating/Anodizing/Galvanizing, etc.
Painting/Spraying/Powder Coating
| | Would you like to receive Metal Finishing Weekly - a free electronic newsletter on finishing? |
Yes
No
| | What is your company's approximate budget for the purchase of finishing equipment and services? (select only one) |
| | Please tick the boxes which apply if you do not wish to receive special offers and promotional material from Elsevier concerning Elsevier and affiliated finishing products and services: (select all that apply) |
Mail
Tel
Fax
Email
| | Please tick the boxes which apply if you do wish to receive special offers and promotional material concerning products and services from non-affiliated third parties: (select all that apply) |
Mail
Tel
Fax
Email
| |
 | I wish to receive a FREE subscription to Vision Systems Design. For engineers who research, design, develop, manufacture, and integrate components and subsystems for machine-vision systems and image-processing and analysis. Vision Systems Design gives machine vision systems and image processing professionals their own magazine that focuses 100% on designing or integrating image-capture, processing, storage, transmission or output products for a wide range of scientific, medical industrial and military/aerospace applications. Note: Offer Valid in the United States, Canada, Mexico, and Select International Countries Only. |
| | I want to receive/continue to receive Vision Systems Design E-Newsletter FREE of charge. |
Yes
No
Occassionally PennWell Corporation sends their subscribers email special offers from relevant businesses/partners. If you do NOT want to receive such offers, please check here.
| | How would you like to receive Vision Systems Design? |
Printed
Digital
| | Please indicate your principal job function: (select only one) |
Please specify for Other:
| | What INDUSTRIES do you design, develop, integrate, or manufacture vision systems for? (select all that apply) |
| | What APPLICATIONS do you design, develop, integrate, or manufacture vision system products, vision systems, or vision subsystems for? (select all that apply) |
| | I purchase, recommend, or specify the following products: (select all that apply) |
| | Audit Verification (Required). In lieu of a signature, we require a personal identifier. To verify that you submitted this application please specify the last digit of the year you were born. |
 |
| | Security Check: Enter both words below, separated by a space. |
|
|