Asia Electronics Industry Free Subscription

	*Asia Electronics Industry* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Asia Electronics Industry*, please answer ALL of the questions on the form below.
	The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: India, Vietnam, Thailand, South Korea

1.	*Do you wish to receive a FREE subscription to Asia Electronics Industry?*

Yes No

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)
Div./Dept.:
Address 1:
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City:
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Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Business Phone:
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Email Address:
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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.

2.	Please select the month you were born as your personal identifier. This will be used by Dempa Publications, Inc.'s auditors only to confirm the validity of your application and will not be used for any other purposes.

3.	What type of business do you work for? (select only one)

Manufacturer

If you are a manufacturer: Do you provide electronic manufacturing service or subcontract manufacturing?
Yes No

Distributor, importer/exporter
R&D lab, academic institute
Others allied to the field (please specify)

4.	What is the main end product or service at your location? (select only one)

Electronic components Communications equipment

Semiconductor devices Consumer electronics products

Electronic subassemblies (boards, modules, hybrid ICs, display modules) Car electronics products

Test & measuring instruments Office and business machines

Production, factory automation equipment Others (please specify)

Electronic materials & chemicals

Computers and peripherals

5.	Which best describes your job function? (select only one)

General & corporate management Maintenance, engineering assistance

Product design and development Purchasing & procurement

Research and development Marketing and sales

Manufacturing and production Others (please specify)

Quality control, testing

6.	Your job title: (select only one)

President/management executive Engineer

General manager/director Consultant

Manager Other title not classified elsewhere (please specify)

Section head

7.	Number of employees at your location: (select only one)

1-99 500-999

100-249 More than 1,000

250-499

8.	In my job, I recommend, specify or authorize purchasing of: (select all that apply)

General Electronic Components Data Storage & Recording Media

Car Electronics Components Computers & Peripherals

Semiconductors (include PCBs) CAE/CAD/CAM Systems

Display Device Modules (LCD, PDP, LED etc) Embedded Development Tools

Test & Measuring Instruments Software

Semiconductor Production Equipment Others (please specify)

Other Production Equipment (SMT, Robotics etc.)

Materials & Cables None of the above

Batteries & Power Supplies

9.	What electronics industry publications do you receive addressed to you personally? (select all that apply)

Electronic Engineering Times Electronics Product New Asia

EDN Asia Others (please specify)

Electronics Business Asia

Nikkei Electronics Asia

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