European Medical Device Manufacturer
  European Medical Device Manufacturer is free to qualified professionals. Summary Description
  To apply for a FREE subscription to European Medical Device Manufacturer, please answer ALL of the questions on the form below.
  The publisher determines qualification and reserves the right to limit the number of free subscriptions.
  Geographic Eligibility: Europe


 
1. Do you wish to receive a FREE subscription to European Medical Device Manufacturer?
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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)
Address:
Dept./Div.:
City:
Postal Code:
Country:
(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email:
(Note: Valid email address is required or you could be disqualified.)
 
Yes, please auto-fill my contact information for other publication qualification forms.


2. Please tick the category that best describes your company. (select only one)
Manufacturer of Finished Medical Devices Provider of Subcontracting Services
Manufacturer of In Vitro Diagnostics Manufacturing Consultant
Manufacturer of Dental Implants, Instruments and Systems Government/Academic
Manufacturer of Pharmaceuticals Others Allied to the Field (please specify)


3. Please tick the category that best describes your job function. (select only one)
Product Design Engineering (including Product Design Engineering management)
Project Engineering (including Project Engineering Management)
Research and Development
Production/Manufacturing (including Production/Manufacturing Management)
Process Engineering (including Process Engineering Management)
Procurement/Specifying/Materials Management/Inventory Control
Quality Assurance/Quality Control
Regulatory/Legal Affairs
General/Corporate Management
Consultant
Other (please specify)


4. How many employees in your company? (select only one)
1-24 100-249
25-99 250+


5. Which of the following products do you recommend, specify, or purchase? (select all that apply)
Components/Products Manufacturing Services
Disposables (inc catheters, pumps, seals, syringes, connectors, guide wires) Assembly
Dental Products Full Service Manufacturing
Diagnostic Kit Components Electronics Manufacturing Services
Metal Parts Metal Fabrication
  Plastics Forming (inc moulding & extrusion)
Consulting  
Regulatory Materials
Manufacturing Plastics
Business Development Ceramics
Translation Services Metals
  Adhesives
Computing Coatings
Embedded Systems Films
Software  
  Packaging
Design and Research and Development Services Packaging Equipment
Design Engineering Packaging Materials
Electrical Systems/Subassemblies Packaging Services
Product Design and Development  
Prototyping/Rapid Prototyping Printing/Bar Coding
  Printing/Bar Coding Equipment
Electrical and Electronic Components Printing/Bar Coding Materials
Cables and Connectors Printing/Bar Coding Service
Motors  
Power Supplies/Batteries Sterilisation
Sensors & Switches Sterilisation Equipment
  Sterilisation Services
Filters  
  Testing
Manufacturing Equipment Testing Equipment
Adhesive-Curing Equipment Testing Services
Assembly Systems  
Automation Systems Tubing
Converting Equipment Metal
Metal Fabrication Plastic
Plastics Processing (inc moulding & extrusion) Tubing Equipment
 
Other (please specify)


6. In order to verify your request for this subscription without the availability of your signature, our audit bureau requires that we ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What are the color of your eyes?


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  Position/Role: (select only one)
CEO Travel Manager
CFO VP Finance
Controller Other
Purchasing Manager
  Company annual revenue: (select only one)
Under $2 Million $10 Million - $250 Million
$2 Million - $4 Million $250 Million - $2 Billion
$4 Million - $6 Million Over $2 Billion
$6 Million - $10 Million
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  Number of beds in your organization: (select only one)
500 and up 100 - 199
200 - 499 1 - 99
  Please indicate type of Facility / Service / Firm: (select only one)
Hospital/Multi-Hospital System Managed Care Organization (HMO, PPO, Healthplans)
Integrated Delivery System/Health Network Insurance Company
University/Teaching Medical Center/Hospital Third Party Administrators (TPA)/Self-Insured Employer
Military/Government Medical Center/Hospital Pharmacy/Independent Lab
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General and Financial Management Information Management cont.
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CFO, Finance Director/Manager
CSO/Security Officer/Director Network/MIS/Data Processing Director/Manager
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Marketing Officer/Director Coding/DRG Director/Manager
COO, VP, Assistant Administrator Systems Administrator/Analyst/Network Specialist/Project Manager
CCO, Compliance Director/Manager Clinical Management
CPO/Purchasing/Materials Management Director/Manager Chief of Staff/Medical Director/VP of Medical Affairs
Quality Officer/Director Chief of Pathology/Pathologist
Other Administrative Title (please specify) Chief of Radiology/Radiologist
Other Clinical Administration (please specify)
Information Management
CIO, VP of Information Systems, Tech Officer Chief of Laboratory Services/Lab Administrator
Chief of Medical Records/Medical Records Manager Chief of Pharmacy/Pharmacist
Director/Manager of Medical Informatics Chief/VP of Nursing Services/Asst Director/Case Manager
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  What is the number of employees in your entire organization? (select only one)
less than 50 1,000 - 4,999
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  What is the approximate number of employees in your company? (select only one)


     

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Copyright © 2008 European Medical Device Manufacturer, All Rights Reserved.