List Rental RFQ Postal List Rental RFQ Company* Name* First Last P.O.# (if applicable) Phone*Email* Regions*RegionsAll Regions - WorldwideUS (Regions 1-6)Canada (Region 7)Africa, Europe, Middle East (Region 8)Latin America (Region 9)Asia/Pacific Rim (Region 10)Other (please specify)Or, Specify Country Quantity*Quantity - Please choose one of the followingQuantityAll Available5,000 Random Select10,000 Random SelectOtherQuantity, if other Society Criteria (optional)Society Criteria (optional) Please select all that apply:Aerospace & Electronic SystemsAntennas & PropagationBroadcast TechnologyCircuits and SystemsCommunicationsComponents, Packaging, and Mfg. TechnologyComputational IntelligenceComputerConsumer ElectronicsControl SystemsDielectrics & Electrical InsulationEducationElectromagnetic CompatibilityElectron DevicesEngineering in Medicine & BiologyGeoscience & Remote SensingIndustrial ElectronicsIndustry ApplicationsInformation TheoryInstrumentation & MeasurementIntelligent Transportation SystemsMagneticsMicrowave Theory & TechniquesNuclear & Plasma SciencesOceanic EngineeringPhotonicsPower & EnergyPower ElectronicsProduct Safety EngineeringProfessional CommunicationReliabilityRobotics & AutomationSignal ProcessingSocial Implications of TechnologySolid-State CircuitsSystems, Man & CyberneticsUltrasonics, Ferroelectrics & Frequency ControlVehicular TechnologyPrimary Line of Business (optional) Primary Line of Business (optional) Please choose one of the following:Aircraft, Missiles, Space & Ground Support EquipmentBroadcast Services (TV, Cable, Radio)Communications Systems & EquipmentCompanies using and/or incorporating any electronic products in their manufacturing, processing, research, or development activitiesComputer Peripheral EquipmentComputer/Communications & Data Processing ServicesComputersConsumer Electronics/AppliancesDistributor (Reseller, Wholesaler, Retailer)Government Agencies & Armed ForcesIC's & MicroprocessorsIndependent & University Research, Test & Design Laboratories & Consultants (not connected with a manufacturing company)Industrial Equipment Controls & SystemsMedical Electronic EquipmentNavigation & Guidance Systems & EquipmentOceanography & Support EquipmentOffice and Business MachinesOriginal Equipment Manufacturers Incorporation Electronics in their end product (not elsewhere classified)Other commercial users of Electrical/Electronic Equipment and Services (not elsewhere classified)Power Product/Generation/Transmission & DistributionSemiconductors, Components, Sub-Assemblies, Materials & SuppliesSoftwareTelecommunications Services, Telephone, (including Cellular)Test, Measurement, & Instrumentation EquipmentTransportation Services (Airline, Railroad, etc.)University, College other Educational Institutions, LibrariesJob Function (optional) Job Function (optional) Please choose one of the following:Computer ScienceDesign Engineering Management - AnalogDesign Engineering Management - DigitalDesign/Development Engineering - AnalogDesign/Development Engineering - DigitalEducation/TeachingEngineering (not elsewhere classified)Engineering ManagementGeneral/Corporate ManagementHardware EngineeringMarketing/Sales & PurchasingProject Engineering ManagementResearch and Development EngineeringResearch and Development ManagementScience/Physics/MathematicsSoftware Design/DevelopmentJob Title (optional)Job Title (optional) Please choose one of the following:CEO/President/Chairman of the BoardChief Engineer/Chief ScientistComputer ScientistConsultantDean/Professor/InstructorDesign EngineerDesign Engineer ManagerEngineering ManagementGeneral ManagerHardware EngineerMember Technical StaffOwner/PartnerScientific ManagementSoftware EngineerVP Engineering/Director EngineeringVP OperationsJob Responsibility (optional)Job Responsibility (optional) Please choose one of the following: ConsultingEducation/TeachingEngineeringEngineering DesignEngineering or Scientific ManagementManagement other than EngineeringSoftware: Science/Management/EngineeringSelection Output Criteria*Selection Output Criteria Please choose one of the following:Avery Labels - 4 AcrossDiskE-mail TransferFTPPlain Cheshire - 4 AcrossAdditional Instructions (Optional)Additonal Instructions (Optional) Δ
