Medical Electronics Manufacturing Free Subscription

	*Medical Electronics Manufacturing* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Medical Electronics Manufacturing*, 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: USA, Canada

1.	*Do you wish to receive a FREE subscription to Medical Electronics Manufacturing?*

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Job Title:
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Company:
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Which of the following best describes your industry? (select only one)

Please specify for Other:

What is the approximate number of employees in your company? (select only one)

2.	What is your primary job function? (select only one)

Engineering and Engineering Management Purchasing & Procurement

Design and Development General & Corporate Management

Software Engineering Other (please specify)

Manufacturing and Production

QA/QC

3.	Do you recommend, specify, or authorize the purchase of electronic components and/or systems for medical devices?

Yes No

4.	What is your estimated annual budget for electrical/electronic components and/or systems?

Under $5,000 $50,000 - $100,000

$5,000 - $25,000 Over $100,000

$25,000 - $50,000

5.	Which of the following products, if any, do you authorize, recommend, or specify in your job? (select all that apply)

ICSs & Semiconductors Packaging & Interconnection

Integrated Circuits Interconnection Devices

Custom & Semicustom ICS Printed Circuits

Microprocessor Components & Systems Cabinets & Enclosures

Function Modules (OP, AMPS, etc.) Temperature Control

Discrete Semiconductors Wire & Cable

Analog/Mixed Signal Circuits Instrumentation & Power Sources

DSPs ESD & EMC Products & Services

Components Test & Measurement Equipment

Resistors & Capacitors Power Supplies

Potentiometers Computer & Computer Peripherals

Inductors & Transformers Mini & Micro Computers

Switches & Relays Software

Displays Computer Peripherals

Fiber-Optic & Optoelectronic Components Modems

Surface Treatment/Adhesive Coatings Printers & Plotters

Filters Computer Boards

Shields/Shielding Embedded PCs (PC/104, PC/104-plus, etc)

Sensors None of the Above

Motors, Motion Control

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* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.