CA - Subscription / Renewal Form
First Name:
Last Name:
E-mail Address:
By providing your e-mail address you are granting UP Media Group, Inc permission to contact you via e-mail regarding your subscription and other UPMG products and services affiliated with this publication.
Title:
Company Name:
Address 1:
Address 2:
City:
State/Province:
Zip Code: (USA only) -
Postal Code:
Country:
Phone:
Fax:
Do you wish to receive/continue to receive (check ALL that apply)
Circuits Assembly
Printed Circuit Design & Fab
PCB UPdate Newsletter
I prefer to receive my issues:
Digital (via e-mail) Print Both Digital & Print
(Print subscriptions take appx 8-12 weeks to activate. Digital subscriptions begin within 7 days of receipt of your subscription)
In which aspect of printed circuit board design, fabrication or assembly is your company involved?
Assembling printed circuit boards or electronics systems, or test and/or back-end assembly
Design of circuit boards
Fabrication of bare circuit boards
Other
Is your primary employer/facility an:
Which of the following most closely matches your primary job function:
Please check the products and services you buy, specify, recommend or influence the purchase of:
Assembly equipment/components/materials/software/services:
Design equipment/materials/software/services:
PWB (bare board) equipment/materials/software/services:
PWB (bare board) Inspection/test equipment:
Assembly inspection/test equipment:
Antistatic/clean room equipment/materials:
Would you like to receive free product information and special offers from electronics industry vendors via email?
Yes No