New Subscription
*Indicates a required field.
Do you wish to receive/continue receiving your copy of
Medical Electronics Manufacturing
magazine?
Yes
No
* First Name:
* Last Name:
Title:
* Company:
* Address:
Address 2:
* City:
* State/Province
(Select State)
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
FO
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
LB
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NF
NH
NJ
NM
NS
NT
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
* ZipCode:
Plus4:
Phone:
Fax:
Email:
*What is your primary job function?
SELECT ONE
ENGINEERING AND ENGINEERING MANAGEMENT
DESIGN AND DEVELOPMENT
SOFTWARE ENGINEERING
MANUFACTURING AND PRODUCTION
QA/QC
PURCHASING & PROCUREMENT
GENERAL & CORPORATE MANAGEMENT
OTHER (PLEASE SPECIFY IN BOX)
Do you recommend, specify, or authorize the purchase of electronic components and/or systems for medical devices?
YES
NO
What is your estimated annual budget for electrical/electronic components and/or systems?
Under $5,000
$5,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
Over $100,000
Which of the following products, if any, do you authorize, recommend, or specify in your job? (check all that apply)
ICSs & SEMICONDUCTORS
INTEGRATED CIRCUITS
CUSTOM & SEMICUSTOM ICS
MICROPROCESSOR COMPONENTS & SYSTEMS
FUNCTION MODULES (OP AMPS ETC)
DISCRETE SEMICONDUCTORS
ANALOG/MIXED SIGNAL CIRCUITS
DSPs
COMPONENTS
RESISTORS & CAPACITORS
POTENTIOMETERS
INDUCTORS & TRANSFORMERS
SWITCHES & RELAYS
DISPLAYS
FIBER-OPTIC & OPTOELECTRONIC COMPONENTS
SURFACE TREATMENT/ADHESIVE COATINGS
FILTERS
SHIELDS/SHIELDING
SENSORS
MOTORS, MOTION CONTROL
PACKAGING & INTERCONNECTION
INTERCONNECTION DEVICES
PRINTED CIRCUITS
CABINETS & ENCLOSURES
TEMPERATURE CONTROL
WIRE & CABLE
INSTRUMENTATION & POWER SOURCES
ESD & EMC PRODUCTS & SERVICES
TEST & MEASUREMENT EQUIPMENT
POWER SUPPLIES
COMPUTER & COMPUTER PERIPHERALS
MINI & MICRO COMPUTERS
SOFTWARE
COMPUTER PERIPHERALS
MODEMS
PRINTERS & PLOTTERS
COMPUTER BOARDS
EMBEDDED PCs (PC/104, PC/104-plus, etc)
NONE OF THE ABOVE
*In order to verify your on-line subscription request, we are required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request.
What month were you born in?
* Indicates required fields for subscription
Publisher reserves the right to reject nonqualified subscriptions.
Copyright 2005 CANON COMMUNICATIONS LLC
Return to the MEM home page