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Source-Book Request Form
To receive the latest print version of the Industrial Computer Source-Book, please provide the following information then click "Request Source-Book".
Note: The asterisk "( * )", means this information is required to process your request.
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Please Choose at least One Source-Book
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Please send me the Master Source-Book™ (Full-Line) |
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Please send me the Computer Systems Edition |
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Please send me the Telecommunications Source-Book |
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Title
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Last Name ( * )
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First Name ( * )
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Company ( * )
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Address or PO Box ( * )
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Mail Stop/Suite/Building
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State ( * )
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City ( * )
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Postal or Zip Code ( * )
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Telephone ( * )
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Fax
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E-mail
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This is a Business Address |
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This is a Home Address |
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If you would like to SUBMIT this request now, please scroll to the bottom of the page.
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Optional: Also, may we please have some additional information.
Please add the following associate(s) to the Mailing List
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What is your industry? (Please check only one)
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Pulp & Paper |
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Military |
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Chemical |
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Services |
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Food Beverage |
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Mining & Metals |
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Telecommunications |
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Electronic |
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Petroleum |
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Transportation |
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Government |
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Pharmaceutical |
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Plastics & Rubber |
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Utilities |
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Machinery |
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Other: |
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How did you hear about our web site?
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Internet Search Engine |
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Source-Book |
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Co-worker or Friend |
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Hot Link from other site |
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Advertisement or Editorial |
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Please provide URL or name of that site
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In my business I am.
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System Integrator |
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End User |
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Software Developer |
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OEM |
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Manufacturer |
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Consultant |
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Contractor |
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Other: |
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In the past, who have you purchased the following products from?
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A. Industrial PC:
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B. I/O Cards:
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C. Scientific/Engineering Software:
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What is your total budget for PC Products this year?
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$20,001 - $50,000 |
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Up to $5,000 |
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$50,001 and over |
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$5,001 - $20,000 |
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My product needs are:
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Future |
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Immediate |
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Information Only |
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3 - 6 months |
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Please have an Applications Engineer call me. |
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PC Products of Interest:
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Rack Mount Computers |
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Analog, Digital I/O Products |
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PC Accessories |
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Engineering Software |
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Others: |
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Local Area Networking |
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My role in Purchasing Products is:
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Recommend/Specify |
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Purchase |
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Authorize |
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None |
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