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I wish to continue to receive Photonics Spectra free of charge.
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Company Name at this Location (No Abbreviations)
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home address. Company name and address are still required to qualify.
Home Address
Street or PO Box
City
State/Prov. ZIP/Postal
1 My principal job function is: (Please insert one letter only.)
Engineering- and Science-Related Management- or Business-Related
A research & development G corporate
B design H engineering/technical
C application J manufacturing or production
D manufacturing or production K purchasing
E measurement (testing, quality control L other management function
or safety) (please specify) ____________________
F other engineering or science function
Other
(please specify) ____________________
M consultant
N educator
P other functions (please
specify) _____________
2 Please indicate the primary end product or service of your
company at this location. (Please insert one letter/number only.)
A aerospace/aviation systems R laboratory, government
B agriculture, food, forestry & mining S laboratory, industrial
C analytical, test or measurement T lasers/laser systems
instrumentation U manufacturing equipment, machinery or
D automotive or transportation metal products
E cable TV/video/broadcasting V medical & biotechnology equipment
F cameras, detectors, sensors & W military equipment
electro-optical components X navigation & guidance systems or
G chemical or pharmaceutical products equipment
H communications equipment or services Y optical components, materials or systems
(incl. telcos, RBOC & other carriers) Z plastics, polymers, rubber
J computer displays, peripherals, office & 1 printing, publishing, graphic arts
business equipment 2 university/institution/college
K consumer electronics & appliances 3 utilities, energy, petroleum & coal
L electronics, semiconductors & IC 4 government personnel not classified
M environmental monitoring elsewhere
N fiber optic components or systems 5 industrial company or commercial user
P hospital/medical university or office incorporating photonic products not
Q industrial control systems & robotics classified elsewhere
6 other _____________________________
Principal Product or Service ________________________________________________________________
3Which of the following publications do you read regularly?
(Please check all that apply.)
A Advanced Imaging N Nature T Semiconductor
H Laser Focus World P OLE International
K Lightwave R Physics Today V Vision Systems Design
M NASA Tech Briefs S Science X None of the above
4 The number of employees at this location is:
(Please insert one letter only.)
A 1-10 C 26-50 E 101-500 G 1001-5000
B 11-25 D 51-100 F 501-1000 H over5000
5
Which of the following technologies/sciences do you and/or your organization
work with? (Please check all that apply.)
A. A aerospace/aviation X imaging
C astronomy Z inspection/identification
D automotive B. A machine vision
E biotechnology C materials processing/
G chemistry, chemical
production
engineering E materials research
J chromatography G medical/biomedical
L communications J microscopy
N computer engineering L military/tactical
P displays N nondestructive testing
R environmental P optical character
monitoring/sensing recognition
T forensic science R optical computing/
V holography data storage
W lighting/illumination T photonic component mfg.
6
Which of the following products do you buy, use, recommend and/or
specify? (Please check all that apply.)
A. Optical Components E. Cameras G monochromators
& Software A CCD or CIDJ optics testing
A coatings C CMOS equipment
C filters & beamsplittersE high speed L power/energy meters/
E gratings G infrared wavelength meters
G infrared optics J line scan N radiometers/
J laser optics L other camera photometers
L lenses P spectroscopy
N mirrors & reflectors F. Detectors/Sensors equipment
P optical design A CCD or CID R spectrum analyzers
softwareC CMOS T telescopes
R polarizing optics E detector arrays M. Electronics & Signal-
T prisms G infrared Analysis Equipment
V ultraviolet optics J photodiodes A amplifiers
X windows & domesL photomultipliers C oscilloscopes
B. Lasers N semiconductor E power supplies
A semiconductor, diode G. Imaging Equipment G pulse & signal
C solid-state, diode- & Software generators
pumped A frame grabbersJ signal analyzers
E solid-state, Nd:YAGC image intensifiers L time-delay generators
G solid-state, Ti:sapphire E imaging software N. Laser Accessories
J solid-state, tunableG infrared imagers A beam analysis
L solid-state, VCSELs J illumination equipmentC flashlamps
M fiber lasers L vision systemsE laser chillers
N gas lasers, CON x-ray imaging G laser dyes, gases
2
P gas lasers, excimer H. Manufacturing Equipment or rods
R gas lasers, HeNe for Photonic Components J laser power & energy
T gas lasers, ion A assembly or meters
V gas lasers, other packaging equipment L laser power supplies
X dye C cleanroom equipmentN laser safety
Z other lasers ________E coating equipment P laser scanners
C. Laser Systems P. Light Sources
G cooling &
A biometric/forensic cryogenic equipment A arc sources
C biotechnology J diamond machining C flashlamps
E communications equipment E infrared
G industrial (cutting/L grinding & G LEDs
welding/marking) polishing equipment J ultraviolet
J entertainment N optical design software Q. Materials & Chemicals
L environmental P photonics test A cements, adhesives
monitoring & epoxies
equipment
N holography R vacuum equipmentC coating materials
P materials processing T other manufacturing E crystals
R medical equipment G grinding &
T military polishing materials
V remote sensing J transmissive
J. Positioning/Vibration
Isolation Equipment
X reprographics materials, IR
A benches, rails & slides
(printing/graphic arts) L transmissive
C micropositioners
Z spectroscopy & materials, UV
E mounts for photonic
photochemical N transmissive
components
analysis materials, visible
G positioning equipment
D. Fiber Optics R. Computers & Software
J position-sensing equip.
A cables A computer hardware
L stepper motors &
C communications lasers (PCs, servers,
drivers
E connectors or couplers workstations,
N tables, optical
G detectors or receivers mainframes)
P vibration-isolation
H fiber C data acquisition
equipment
K gratings E scientific/engineering
K. LEDs and Displays
M lightguides software
A CRTs
N network components S. Nanophotonics
C flat panel
O optical amplifiers A microscopes
E LCDs
Q optical switches C nanophotonic devices
G LEDs
S splicing & polishing E nanophotonic materials
J light valves
equipment G quantum dots
L OLEDs
U test equipment
N plasma T. A Other_____________
W transmitters
L. Test & Analysis Equipment
Y WDM or DWDM A interferometers X. None of the above
Z other fiber optic
C microscopes, optical (6A-6S inclusive)
components
E microscopes, other
V process control
X quality control
Z remote sensing/lidar
C. A reprographics/printing
C robotics
E semiconductor processing
G simulation/modeling
J signal processing
L spectroscopy
N test & measurement
P ultrafast/time-
resolution studies
R other
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7Signature Date
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