Optical Society of America - Exhibit Brochure 2008 - (Page 23) EXHIBIT-ONLY REGISTRATION FORM T H R E E W AY S T O S I G N U P : 1. Visit www.ofcnfoec.org/registration 2. Complete this registration form and fax it to +1 514.228.3204 3. Bring your completed registration form with you to OFC/NFOEC First Name Last Name Badge Name (First Name as it should appear on your badge) Company/Affiliation Address City State/Province Zip/Postal Code Country E-mail Telephone Fax o Check here if you do not wish to receive mail from OFC/NFOEC exhibitors. * No e-mail addresses are provided as part of any rented list. JOB TITLE SECTION Please select the title/function that best fits your role within your organization. o Executive Management (CEO, CFO, CIO, VP, Sr. VP, Pres., etc.) o Manufacturing Engineer o Network Architect/Designer o PR Consultant/Agent o Press/Publication Staff o Product Development Manager o Professor/Educator/ University Administrator o Purchasing Manager/ Specialist/Buyer o Researcher/Scientist o Sales/Marketing o Software Designer/ Developer/Programmer o Systems Engineer/ Designer/Developer o Test and Measurement Engineer/Designer/Developer o Venture Capitalist/ Financier o Other (Please Specify) –––––––––––––––––––––––––––– –––––––––––––––––––––––––––– DEMOGRAPHIC INFORMATION (required) 1) Please select the company category(ies) that best describes your employer. o Carriers/Service Providers o Systems/Network Equipment Manufacturer o Components or Device Manufacturer o Test Equipment Manufacturer o Fiber and Cable Supplier o Electronics Contract Manufacturer (Chips) & Software o Academic o Investment/Venture Capital o Association or Government o Agency o Publisher o Other (Please Specify) –––––––––––––––––––––––––––– 2) What is your role in purchasing? o Make Purchase Decision o Specify Products/Services o Influence Purchasing Decision o No Role o Other (Please Specify) –––––––––––––––––––––––––––– 3) What types of product(s) do you intend to purchase in the next 12 months? o Lasers and Light Sources o Active or Passive Components o Cable or Specialty Fiber o Test or Mfg. Equipment o Network Equipment or Design o Materials and Services o Software o Other (Please Specify) –––––––––––––––––––––––––––– 4) What is your annual purchasing budget? o Less than $100K o $100K–$250K o $250K–$500K o $500K–$1 million o More than $1 million o Other (Please Specify) –––––––––––––––––––––––––––– REGISTER TODAY AT WWW.OFCNFOEC.ORG 23 http://www.ofcnfoec.org/registration
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