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<div id="main_div"><span class="headliner_b_size">About You and Your Company</span><br>
    
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<td valign="top" colspan="4"><span class="headliner_c_size"><b>For which industries do you perform test, measurement, or inspection functions? (Check ALL that apply)</b></span></td>
</tr>
<tr>
<td colspan="4">
</td>
</tr>
</tbody>
</table>
<table cellspacing="0" cellpadding="5" border="0">
<tbody>
<tr>
<td valign="top" width="">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top"><input type="checkbox" name="1" id="1" value="1"></td>
<td valign="center"><label for="1">Computers or Software</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="2" value="2" id="2"></td>
<td valign="center"><label for="2">Communications and Networking Systems or Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="3" value="3" id="3"></td>
<td valign="center"><label for="3">Wireless</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="4" value="4" id="4"></td>
<td valign="center"><label for="4">Consumer Electronics or Appliances</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="5" value="5" id="5"></td>
<td valign="center"><label for="5">Industrial Controls</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="6" value="6" id="6"></td>
<td valign="center"><label for="6">Electronic Instruments or Test Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="7" value="7" id="7"></td>
<td valign="center"><label for="7">Medical Devices</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="8" value="8" id="8"></td>
<td valign="center"><label for="8">Automotive or Transportation</label></td>
</tr>
</tbody>
</table>
</td>
<td valign="top" width="">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top"><input type="checkbox" name="9" id="9" value="9"></td>
<td valign="center"><label for="9">Aircraft or Aerospace</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="10" value="10" id="10"></td>
<td valign="center"><label for="10">Defense</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="11" value="11" id="11"></td>
<td valign="center"><label for="11">Semiconductors or Other Electronic Components</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="12" value="12" id="12"></td>
<td valign="center"><label for="12">Photovoltaics</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="13" value="13" id="13"></td>
<td valign="center"><label for="13">Academic or Independent R&D Laboratories</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="14" value="14" id="14"></td>
<td valign="center"><label for="14">Other Electronics Industries</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="15" value="15" id="15"></td>
<td valign="center"><label for="15">Other (please describe)<br><input type="text" name="19/"></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table><br><hr color="#000000" size="1">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top" colspan="2"><span class="headliner_c_size"><b>What is your primary job function?</b></span></td>
</tr>
<tr>
<td colspan="2">
</td>
</tr>
</tbody>
</table>
<table cellspacing="0" cellpadding="5" border="0">
<tbody>
<tr>
<td valign="top"><select name="10412"><option value="">Select One</option>
<option value="31">Engineering Management</option>
<option value="32">Engineering or Technical Staff</option>
<option value="33">Corporate or General Management</option>
<option value="34">Other</option></select></td>
</tr>
</tbody>
</table><br><hr color="#000000" size="1">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top" colspan="4"><span class="headliner_c_size"><b>Which products are you involved in the purchase or specification of? (Check ALL that apply)</b></span></td>
</tr>
<tr>
<td colspan="4">
</td>
</tr>
</tbody>
</table>
<table cellspacing="0" cellpadding="5" border="0">
<tbody>
<tr>
<td valign="top">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top" colspan="4"><b>Production/QA/ATE/Test</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="101" value="101" id="101"></td>
<td valign="center"><label for="101">IC ATE</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="102" value="102" id="102"></td>
<td valign="center"><label for="102">Board Testers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="103" value="103" id="103"></td>
<td valign="center"><label for="103">Discrete Component Testers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="104" value="104" id="104"></td>
<td valign="center"><label for="104">Environmental Test Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="105" value="105" id="105"></td>
<td valign="center"><label for="105">Hipot/Insulation Breakdown Testers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="106" value="106" id="106"></td>
<td valign="center"><label for="106">Wafer Probers</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Communications/Microwave Test</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="107" value="107" id="107"></td>
<td valign="center"><label for="107">LAN/WAN Testers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="108" value="108" id="108"></td>
<td valign="center"><label for="108">RF Test/Microwave Test Equipment</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Software/Design Automation</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="109" value="109" id="109"></td>
<td valign="center"><label for="109">Machine-Vision Software</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="110" value="110" id="110"></td>
<td valign="center"><label for="110">Data Acquisition/Reduction Software</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="111" value="111" id="111"></td>
<td valign="center"><label for="111">Math, Graphing, Analysis Software</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="112" value="112" id="112"></td>
<td valign="center"><label for="112">Test Software & Development Aids</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="113" value="113" id="113"></td>
<td valign="center"><label for="113">Design for Test</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="114" value="114" id="114"></td>
<td valign="center"><label for="114">Design Verification Systems</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="115" value="115" id="115"></td>
<td valign="center"><label for="115">Fault-Simulation Software</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Test Instruments</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="116" value="116" id="116"></td>
<td valign="center"><label for="116">Audio Testers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="117" value="117" id="117"></td>
<td valign="center"><label for="117">Calibrators/Standards</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="118" value="118" id="118"></td>
<td valign="center"><label for="118">Counters/Timers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="119" value="119" id="119"></td>
<td valign="center"><label for="119">Data-Acquisition Systems</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="120" value="120" id="120"></td>
<td valign="center"><label for="120">EMI/RFI/EMC Test Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="121" value="121" id="121"></td>
<td valign="center"><label for="121">Function/Pulse Generators</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="122" value="122" id="122"></td>
<td valign="center"><label for="122">ESD Test Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="123" value="123" id="123"></td>
<td valign="center"><label for="123">Logic Analyzers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="124" value="124" id="124"></td>
<td valign="center"><label for="124">Digital Multimeters</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="125" value="125" id="125"></td>
<td valign="center"><label for="125">Oscilloscopes</label></td>
</tr>
</tbody>
</table>
</td>
<td valign="top" width="">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top"><input type="checkbox" name="126" id="126" value="126"></td>
<td valign="center"><label for="126">Powerline Monitors</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="127" value="127" id="127"></td>
<td valign="center"><label for="127">Power Supplies/Current Sources</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="128" value="128" id="128"></td>
<td valign="center"><label for="128">Recorders/Dataloggers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="129" value="129" id="129"></td>
<td valign="center"><label for="129">Spectrum Analyzers</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="130" value="130" id="130"></td>
<td valign="center"><label for="130">Switching Matrices</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="131" value="131" id="131"></td>
<td valign="center"><label for="131">Temperature Measuring Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="132" value="132" id="132"></td>
<td valign="center"><label for="132">Waveform Analyzers</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Card-Level Instruments &amp; Buses</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="133" value="133" id="133"></td>
<td valign="center"><label for="133">VXIbus</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="134" value="134" id="134"></td>
<td valign="center"><label for="134">GPIB/IEEE-488</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="135" value="135" id="135"></td>
<td valign="center"><label for="135">PCI/Compact PCI/PXI</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Test/Analysis Services/Consultants</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="136" value="136" id="136"></td>
<td valign="center"><label for="136">Test Services</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="137" value="137" id="137"></td>
<td valign="center"><label for="137">Calibration or Maintenance Test Services</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="138" value="138" id="138"></td>
<td valign="center"><label for="138">Test Equipment Leasing/Rental</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Test Hardware</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="139" value="139" id="139"></td>
<td valign="center"><label for="139">Adaptors, Clips, Connectors</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="140" value="140" id="140"></td>
<td valign="center"><label for="140">ESD Control/Protection Products</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="141" value="141" id="141"></td>
<td valign="center"><label for="141">EMI/RFI/EMC Control/Protection Products</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="142" value="142" id="142"></td>
<td valign="center"><label for="142">Fixturing</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="143" value="143" id="143"></td>
<td valign="center"><label for="143">Probes, Contacts, Probe Cards</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="144" value="144" id="144"></td>
<td valign="center"><label for="144">Test Sockets</label></td>
</tr>
<tr>
<td valign="top" colspan="4"><br><b>Inspection Equipment</b></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="145" value="145" id="145"></td>
<td valign="center"><label for="145">Machine Vision Systems/Cameras</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="146" value="146" id="146"></td>
<td valign="center"><label for="146">Microscopes</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="147" value="147" id="147"></td>
<td valign="center"><label for="147">Automated Optical Inspection Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="148" value="148" id="148"></td>
<td valign="center"><label for="148">Thermal Imaging Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="149" value="149" id="149"></td>
<td valign="center"><label for="149">X-Ray Inspection Equipment</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="150" value="150" id="150"></td>
<td valign="center"><label for="150">Surface Analysis Equipment</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="center" colspan="10" height="10"></td>
</tr>
<tr>
<td colspan="10" align="center" valign="center"><input type="checkbox" name="155" value="155">None of the Above</td>
</tr>
</tbody>
</table><br><hr color="#000000" size="1">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top" colspan="2"><span class="headliner_c_size"><b>What is the approximate number of employees at your location?</b></span></td>
</tr>
<tr>
<td colspan="2">
</td>
</tr>
</tbody>
</table>
<table cellspacing="0" cellpadding="5" border="0">
<tbody>
<tr>
<td valign="top"><select name="10406"><option value="">Select One</option>
<option value="41">1,000 or more</option>
<option value="42">500 - 999</option>
<option value="43">100 - 499</option>
<option value="44">1 - 99</option></select></td>
</tr>
</tbody>
</table><br><hr color="#000000" size="1">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top" colspan="6"><span class="headliner_c_size"><b>What types of test, measurement, or inspection functions do you perform or manage? (Check ALL that apply)</b></span></td>
</tr>
<tr>
<td colspan="6">
</td>
</tr>
</tbody>
</table>
<table cellspacing="0" cellpadding="5" border="0">
<tbody>
<tr>
<td valign="top" width="">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top"><input type="checkbox" name="51" id="51" value="51"></td>
<td valign="center"><label for="51">Incoming Inspection</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="52" value="52" id="52"></td>
<td valign="center"><label for="52">Production/Mfg. Testing  </label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="53" value="53" id="53"></td>
<td valign="center"><label for="53">QA/QC Reliability</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="54" value="54" id="54"></td>
<td valign="center"><label for="54">Prototype Evaluation</label></td>
</tr>
</tbody>
</table>
</td>
<td valign="top" width="">
<table cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td valign="top"><input type="checkbox" name="55" id="55" value="55"></td>
<td valign="center"><label for="55">Design/Development Test  </label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="56" value="56" id="56"></td>
<td valign="center"><label for="56">Software Testing</label></td>
</tr>
<tr>
<td valign="top"><input type="checkbox" name="57" value="57" id="57"></td>
<td valign="center"><label for="57">Field Service Test</label></td>
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