Connector Specifier Free Subscription

	*Connector Specifier* is free to qualified professionals. Summary Description
	To apply for a FREE digital subscription to *Connector Specifier*, please answer ALL of the questions on the form below.
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	Geographic Eligibility: International

1.	*Do you wish to receive a FREE digital subscription to Connector Specifier?*

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Company:

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

2.	In lieu of a signature, we require a personal identifier. What is the First Letter of Your Mother's Name?

3.	What is the end product produced or service performed at this location? (select only one)

Communications Systems or Equipment Consumer Electronic Products or Appliances

Computers, Peripherals or Other Office Equipment Independent Research, Test or Design Laboratory or Consultant

Military, Homeland Security or Other Government Electronics Contract Manufacturer or Assembler

Automotive or Transportation Electronics Connector Manufacturer

Aviation or Aerospace Equipment Cable/Assemblies/Wire Processing Manufacturer

Medical Electronics Manufacturer Incorporating Electronics into their Design/Product

Industrial Electronic Controls, Systems or Equipment Other (please specify)

Test & Measurement Equipment, Instruments

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

Design Engineering Research & Development (including management)

Design Engineering Management Quality Control/Quality Assurance/Production Testing (including management)

Production Engineering (including management) Purchasing Procurement (including management)

Corporate/Executive Management Other (please specify)

5.	In the performance of my job, I buy, specify and/or influence the purchase of the following products: (select all that apply)

A - Connectors and Cabling B - Interconnection/Housing/Management Systems

Cable Assemblies, Wire Harnesses Backplanes

Coaxial Connectors, Cable Cable Ties

Fiberoptic Connectors, Cable Chassis, Enclosures

Optical Transceivers Headers

PCB Connectors, Cardedge Connectors Junction Boxes

Smart Connectors Patch Panels

DIN Connectors Pins, Terminals, Splices

Flat Flexible Cable, Ribbon Cable C - Manufacturing, Test, Tools, Equipment, Materials, Software

Harsh Environment Connectors Wire Processing Equipment, Tools

High-density Connectors Conductive Adhesives, Epoxies

Jacks and Plugs Soldering/Welding Equipment, Tools

Microminiature, Miniature Connectors Test/Measurement Equipment, including Wiring Testers

MIL-Spec Connectors D - Shielding and Materials

Power Connectors Materials, Parts, Plastics, Insulations

RF Connectors Tubing and Sleeving

SCSI Connectors E - Software

Sockets, Adapters Design Software

SMT Connectors Manufacturing Software

Terminal Blocks Test Software

USB Connectors Supply Chain Software

Automotive/Transportation Connectors None of the Above

6.	In the performance of my job, I buy, specify and/or influence the purchase of products and services in the following regions: (select all that apply)

China North America

Europe (West) South America

Europe (East, including Russia) Southeast Asia

India Rest of World

Japan None of the Above

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