CircuiTree - January 2009 - (Page 45) FREE SUBSCRIPTION FORM PLEASE ANSWER ALL QUESTIONS TO QUALIFY ❏ YES! Start my FREE subscription to CircuiTree! ❏ no ❏ YES! I would like to receive the CircuiTree e-newsletter for FREE? ❏ no Please check your preferred format ❏ Print version of CircuiTree only ❏ Digital (PDF) version of CircuiTree only supply e-mail address below Signature Date Name Title Company Address City/State/Postal Code Country Business Phone Business Fax E-Mail By providing your fax number, you’re giving us permission to fax future renewal reminders to you. You will receive subscription and renewal notices from BNP Media via e-mail. If you do not wish to receive third-party e-mail offers regarding information relevant to your industry, please check here. ❏ 4. Please indicate if you influence the design, specification or purchase of the following (choose ALL that apply): 01 ❏ Fabrication Equipment 02 ❏ Fabrication Materials 03 ❏ Fabrication Services 04 ❏ PCBs 05 ❏ None of the above 5. Please check the following items that your company manufactures (choose ALL that apply): 01 ❏ Multilayer PCBs 02 ❏ Flexible PCBs 03 ❏ HDI Substrates 04 ❏ Double-Sided PCBs 05 ❏ Single-Sided PCBs 06 ❏ Assembled Boards 07 ❏ None of the above Who else at your location should be receiving a FREE subscription to CircuiTree? Name Title E-mail Name Title E-mail Publisher reserves the right to determine complimentary subscription eligibility. 08SUBC 1. What is your primary job function? (Choose One) 02 ❏ Purchasing/Procurement 08 ❏ Circuit Design 03 ❏ Manufacturing/Production 04 ❏ Process Engineering 01 ❏ Management 06 ❏ Quality Control/Assurance 05 ❏ Research & Development 14 ❏ Sales & Marketing 09 ❏ Consultant 10 ❏ Professor/Instructor 89 ❏ Other 2. What is your primary business? (Choose One) 08 ❏ Printed Circuit Board Manufacturer 09 ❏ Electronic Manufacturing Services 05 ❏ Original Equipment Manufacturer 02 ❏ Supplier to Fabricator (Equipment, Material, Services, etc.) 89 ❏ Other 3. Please check the following as it applies to your company (choose one): 01 ❏ Manufactures AND Assembles PCBs 02 ❏ Only Manufactures PCBs 03 ❏ Only Assembles PCBs 04 ❏ None of the above FAX YOUR ORDER TO: (847) 763-9538
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