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| 2. | How would you like to receive your copy of Advanced Imaging? |
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| 3. | In order to verify your request for this publication, without the availability of a signature, Cygnus Business Media's audit bureau requires that they ask a personal identifying question. This information is used solely for the purpose of auditing your request. |
What date of the month were you born?
| 4. | 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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| 5. | 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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| 6. | Do you have purchasing, recommending, specifying, or approval authority for the purchase of electronic imaging products? |
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| 7. | 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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 | I wish to receive a FREE digital subscription to POWER. POWER magazine covers business and technology for the global generation industry. Published since 1882 and read by managers and engineers, POWER is the oldest and most trusted source of information in the energy industry. Coverage includes boilers and combustion systems, environmental management; instrumentation, controls, computers, and software; information technologies; natural gas, oil, coal, and renewable fuels; nuclear power; pumps, compressors, valves, and piping; turbines, engines, and generators; water treatment. Note: Offer Valid in USA, Canada, Selected International (Digital Edition Only). |
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In lieu of a signature, HealthLeaders Media requires a unique identifier used only for subscription verification purposes. What is your month of birth? |
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Which of the following best describes your place of employment? |
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Please specify for Other: |
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Which of the following titles most closely describes your position/title? |
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Which best classifies your place of employment by the number of beds? |
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Which best classifies your place of employment by the number of sites within your organization? |
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Which best classifies your place of employment by the number of physicians? |
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Which best classifies your place of employment by the number of enrollees? |
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I wish to receive a FREE subscription to Marine Log -
published since 1878, it covers the commercial marine industry worldwide- America's most respected marine industry monthly, and is dedicated to providing marine industry professionals with the information they need to enable them to design, build and operate vessels, rigs and offshore structures, profitably, safely, legally and in an environmentally responsible manner.
Marine Log serves the fields of vessel operations, ownership and management; shipyards and ship repair yards; naval architectural firms, marine engineering firms, marine consultants; port authorities and terminals; Navy, Coast Guard and other governmental agencies operating vessels; marine finance, marine insurance and maritime law. Qualified industry personnel are eligible to receive free subscriptions. These include executive and technical personnel, operational and financial personnel, purchasing and sales/marketing personnel.
Marine Log is a publication of Simmons-Boardman Publishing, New York.
Note: Offer Valid in USA, Canada, Mexico (Print and Digital available), International (Digital version only).
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Which business/industry best describes your company? (select only one) |
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Vessel Operations, Ownership & Management of: Ships, Boats, Barges, Cruise Vessels, Cargo Ships, Crew Boats, Ferries, Tugs, Research & Survey Vessels, Supply Boats, Dredges or Pushboats in oceans, harbors and inland rivers; including Offshore Drilling Companies |
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Shipyards & Ship Repair Yards: Shipbuilding Companies, including ship repair yards, repair subcontractors and newbuilding organizations |
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Naval Architecture Firms: Marine Engineering Firms, Other Technical Consultancy Firms including Surveyors and Classification Societies |
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Port Authority or Terminals |
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Navy, Coast Guard or other Gov't. Agencies operating vessels |
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Marine Finance, Marine Insurance and Marine Law Including P&I Clubs and Admiralty Law Firms |
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Allied Industries; Manufacturers, Suppliers and Distributors to the Marine Industry |
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Third Parties: NVOCC, Charterers, Brokers & Freight Forwarders |
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Industry Association |
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Manufacturer of major vessel infrastructure components |
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Others allied to the field. |
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Please specify for Other: |
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Which category best describes your job title? (select only one) |
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Executive Personnel including Owners, Partners, Presidents, CEO's, COO's, Vice Presidents, Directors, General Managers and other Executive personnel |
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Technical Personnel including Engineers, Surveyors, Inspectors, Analysts, Scientists, Chemists, Consultants, Naval Architects, and other Technical Personnel |
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Operational & Security Personnel include Marine Superintendents, Port Captains, Superintendent and Port Engineers, Shipyard Production Managers, Supervisors and other Operational & Security Personnel |
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Financial Personnel including Controllers, CFO's, Accountants, Estimators & other financial personnel |
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Purchasing Personnel including Buyers, Purchasers, Acquisition Managers, Materials Managers and other purchasing, acquisition and materials personnel |
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Sales and Marketing Personnel including Marketing & Public Relations Managers and other sales & marketing personnel |
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Other |
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Please specify for Other: |
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What type(s) of vessels is your company involved with? (select all that apply) |
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What is your role in the purchasing process? (select all that apply) |
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Which Marine Markets are you involved with? (select all that apply) |
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As proof to Simmons-Boardman Publishing's auditors that you have requested to receive their magazine, please indicate in which State/Province you were born. |
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