Email *
First Name *
Last Name *
Company *
Address *
Address 2
City *
State *
--- Please Select --- Alberta Saskatchewan Quebec Prince Edward Island Ontario Nunavut Nova Scotia Yukon Newfoundland and Labrador New Brunswick Manitoba British Columbia Northwest Territories North Carolina New York New Mexico New Jersey New Hampshire Nevada Montana Missouri Mississippi Minnesota North Dakota Nebraska Ohio Oklahoma Tennessee Pennsylvania Rhode Island South Carolina South Dakota Michigan Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Oregon Massachusetts Maryland Louisiana Maine Alabama Alaska Arizona Arkansas California Connecticut Delaware District of Columbia Florida Georgia Colorado Hawaii Wisconsin Kentucky Kansas Iowa Wyoming Indiana Illinois Idaho Palau Puerto Rico Guam U.S. Minor Outlying Islands Northern Mariana Islands American Samoa Micronesia (Federated States of) Marshall Islands Armed Forces
ZIP Code
Country/Region *
--- Please Select --- United States of America Åland Islands Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire - Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Côte d'Ivoire Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (Democratic Republic of the) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic People's Republic of) Korea (Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine - State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena - Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania - United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Phone *
Company size by number of employees. *
--- Please Select --- 1-49 50-99 100-499 500-999 1,000+
Please indicate your primary engineering function. *
--- Please Select --- Project/Engineering Management Engineering - Design Engineering - Project Engineering - Quality/Test Engineering - R&D Engineering - System Design Design of Equipment for In-Plant Use Engineering - Other Other
Which products do you purchase or provide specifications for?(select maximum of 5)
Analog IC'S
CAD/CAM Software
CAE Analysis Software
Computer Hardware or Peripherals
Contract R&D, Design, Engineering, & Manufacturing, or other Outsourcing
Controllers (Including PLCs, PACs, PC-Based)
DSPs and/or Digital Signal Controllers
Enclosures
Fastening, Joining, and Assembly Components
Fluid Power & Fluid Handling Devices
HMI, SCADA Hardware
HVAC Systems & Equipment
I/O Products or Systems
Injection Molding
Interconnect/Passive/Electro-Mechanical Devices
Laser Cutting
LED/LCD or other Lighting/Display Technologies
Material Handling Equipment & Systems
Materials - Adhesives
Materials - Coatings & Finishes
Materials - Composites
Materials - Metals & Alloys
Materials - Other Materials
Materials - Plastics & Elastomers
Mechanical Components (Gaskets, Springs, Rings, and other Hardware, etc.)
MES, HMI, SCADA, Batch, and Historian Software
Microcontrollers/Microprocessors
Motion Control Components (Actuators, Encoders, Slides & Bearings, and Valves, etc.)
Motors & Drives
Optical/Vision Sensing & Inspection Equipment
Other Electrical/Electronic Components
Packaging
PLM or PDM Software
Power Supplies or Power Management Devices
Power Transmission Components & Bearings
Precision Machining Parts & Services
Production Test Equipment
Rapid Prototyping/3D Printing
Robotics
Sensors, any type (Including Flow, Pressure, Level, and Temperature)
Software/Operating Systems
Test & Measurement Equipment
Test and/or Measurement Software
Wireless/Wired Networking
Other
From your responses above, please indicate your primary product or service. *
--- Please Select --- Analog IC'S CAD/CAM Software CAE Analysis Software Computer Hardware or Peripherals Contract R&D, Design, Engineering, & Manufacturing, or other Outsourcing Controllers (Including PLCs, PACs, PC-Based) DSPs and/or Digital Signal Controllers Enclosures Fastening, Joining, and Assembly Components Fluid Power & Fluid Handling Devices HMI, SCADA Hardware HVAC Systems & Equipment I/O Products or Systems Injection Molding Interconnect/Passive/Electro-Mechanical Devices Laser Cutting LED/LCD or other Lighting/Display Technologies Material Handling Equipment & Systems Materials - Adhesives Materials - Coatings & Finishes Materials - Composites Materials - Metals & Alloys Materials - Other Materials Materials - Plastics & Elastomers Mechanical Components (Gaskets, Springs, Rings, and other Hardware, etc.) MES, HMI, SCADA, Batch, and Historian Software Microcontrollers/Microprocessors Motion Control Components (Actuators, Encoders, Slides & Bearings, and Valves, etc.) Motors & Drives Optical/Vision Sensing & Inspection Equipment Other Electrical/Electronic Components Packaging PLM or PDM Software Power Supplies or Power Management Devices Power Transmission Components & Bearings Precision Machining Parts & Services Production Test Equipment Rapid Prototyping/3D Printing Robotics Sensors, any type (Including Flow, Pressure, Level, and Temperature) Software/Operating Systems Test & Measurement Equipment Test and/or Measurement Software Wireless/Wired Networking Other
