| |
| 1. | Do you wish to receive a FREE digital subscription to Connector Specifier? |
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) |
| Department/Mailstop: |
|
| Company Address: |
|
| City: |
|
| State: |
|
| Country: |
|
| |
(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
| Zip Code/Postal Code: |
|
| Phone: |
|
| Fax: |
|
| Email Address: |
|
| |
(Note: Valid email address is required or you could be disqualified.) |
Yes, please auto-fill my contact information for other publication qualification forms.
| | 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) |
| 4. | What is your primary job function? (select only one) |
| 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) |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
Yes
No
| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
Yes
No
 |
| |
Related FREE Offers from TradePub.com: Check those you wish to receive. |
Yes! I would like to receive communications via email, mail or phone relating to Adobe and its affiliates' products and services including product releases, product upgrades, seminars, events, training, and special offers. Adobe, its affiliates, and agents may use data I have provided in accordance with the Adobe Privacy Policy.
| | Job Function: (select only one) |
| | Industry: (select only one) |
| | What is the approximate number of employees in your company? (select only one) |
| | Company Employee Size: (select only one) |
| | Job Role/Title: (select only one) |
| | Microsoft may send me pertinent security, product, and event information via: (select all that apply) |
| | Which of the following best describes your industry? (select only one) |
| | Which of the following is closest to your job function? (select only one) |
| | What is the number of employees in your entire organization? (select only one) |
|
|