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Company's Primary Product or Service:

Your principal job function:

Number of employees:

Organization's annual revenue:

Types of Instruments are you involved in?
(Check all that apply)

	Acoustical	Analytical	Chromatography
	Color	Electrical	Environment
	Fluid	Gas	Humidity
	Life Science	Location	Magnetic
	Medial/Healthcare	Metrology	Microscopy
	Monitoring	Motion	NDT (Non-Destructive Technology)
	Optical	Portable	Pressure
	Process	RF/Wireless	Spectroscopy
	Stationary	Surface	Test

Which products/services are you involved with? (Check all that apply)
	Actuators	Adhesives	Alarms
	Assemblies	Automation Systems	Cables
	Coatings	Communication Systems/Devices	Connectors/Adapters
	Controllers	Cooling Systems	Data Acquisition Systems
	Displays	Drives	Electronics
	Enclosures/Housings	Filters	Flow Meters
	Fluid Handling/Flow Control	Heaters	ICs/Semiconductors
	Injection Molding	Lasers	Light Sources
	Keyboards	Manufacturing/Assembly Equipment	Manufacturing/Assembly Services
	Materials	Measurement	Mixers
	Motion Control	Motors	Optics
	Packaging	Positioners	Power Supplies
	Pressure Regulators	Prototype Tools/ Services	Pumps
	Sampling Systems	Seals/Sealants	Sensors
	Software	Surface Teatment	Switches
	Thermal Components	Tubing	Vacuum Systems
	Valves	Vision Systems	Weighing Systems
	Wireless Systems

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