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| 1. | Do you wish to receive a FREE subscription to Advanced Imaging? |
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| | What is the approximate number of employees in your company? (select only one) |
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | In order to verify your request for this publication, without the availability of a 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 month were you born in?
| 3. | What is your firm's primary business activity? (select only one) |
| USER of imaging products, equipment, systems in: |
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| Industrial Firm (including areospace, defense/military contractor, electronics, semi-conductor, process industry, automotive) |
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| Commercial Firm (including publishing, media services, financial services) |
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| Law Enforcement, Forensics, Security |
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| Government, Military |
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| University, Educational Institution, Research Laboratory |
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| Medicine (including teaching and research) |
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| MANUFACTURER/RESELLER of imaging products, equipment, or systems: |
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| Original Equipment Manufacturer |
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| Systems Integrator, Consultant, VAR, Dealer, Distributor |
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| Other (please specify) |
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| 4. | Which category best describes your job title? (select only one) |
| Corporate Management (including CEO, President, Owner, VP, COO, CFO, Chairman, Director & related personnel) |
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| Engineering Management (including VP of Engineering, Senior, Principal, Chief or Managing Engineer & related personnel) |
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| Operations & Production Management (including VP, Manager, Supervisor or Head of Operations, Production or Manufacturing, General Manager, Dpt/Div. Head & related personnel) |
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| Research & Development and Design Engineering Staff (including R&D or Design Engineer, Designer, Scientist, Analyst, Researcher & related personnel) |
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| Application, Manufacturing & Production Engineering Staff (including Application, Manufacturing or Production Engineer & related personnel) |
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| Consultant, Educator, Trainer |
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| Technical & Creative Imaging Support Staff (including Technician, Imaging Specialist & related personnel) |
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| Other (please specify) |
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| 5. | Do you have purchasing, recommending, specifying, or approval authority for the purchase of electronic imaging products? |
Yes
No
| 6. | Do you buy, specify or approve the purchase of the following electronic imaging core technologies? (select all that apply) |
| Illumination (including fiber optics, LEDs, etc.) |
| Optics (including lens, filters, etc.) |
| Backplanes (including CCD sensors, CMOS sensors, IR sensors, etc.) |
| Camera/Sensors |
| Datapath (including Fire Wire, GigE, CameraLink, USB, routers, etc.) |
| Processing (including PCI boards, FPGA, frame grabbers, DSPs, etc.) |
| Display (including flat panel, LCD, CRT, LEDs, microdisplays, etc.) |
| Storage (including DVR, RAID, SAN, etc. |
| Software (SDKs, analysis, processing, language development, etc.) |
| None of the above |
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| | What is your job function? (select only one) |
| | Which of the following best describes your industry? (select only one) |
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