YES, I would like a free copy of Panel Components' Export Designer's Reference & Catalog. Please fill out the information below.

1. Name and Address

2. PCC Contact Points

• Please notify me of seminars on "Specifying International Primary Power Components" in my area:
  Yes  No

• I attend the following trade shows regularly: (Check as many as apply)
  

  Design Engineering (Chicago)	Electro
  Wescon	Southcon
  Midwest Electronics Expo	Northcon
  Canadian Shows	Other:
  Which Canadian shows?

• I use the following directories: (Check as many as apply)
  

  Thomas Register	EITD
  Medical Electronics	EEM
  Handble	Other:

• I read the following technical journals regularly (3 out of 4 issues): (Check as many as apply)
  

  Design News	Electronic Engineering Times (EET)
  EE Product News	Electronic Products
  Inside Line	Compliance Engineering
  Electronic Component News (ECN)	Electronic Products & Technology
  Design Product News	Product Design and Dev. (PD&D)
  Electronic Design News (EDN)	Canadian Electronics
  Other:

3. End Product

• Which category best describes the products on which you work:
  INDUSTRIAL/COMMERCIAL .....Industrial Controls .....Power Distribution Equipment .....Instrument/Controls .....Test and Measuring Equipment .....Communications Equipment .....Medical/Scientific Equipment .....Point of Sale Equipment COMPUTER/BUSINESS MACHINES .....Large Computer (Mainframe) .....Mini-computer .....Peripheral Equipment .....Office and Commercial Machines CONSUMER .....Home & Portable Entertainment .....Marine/Aviation .....Musical Instruments & Amateur Equip. .....Calculators .....Digital Clocks/Watches .....Automotive .....Personal Communications (CB) .....Home & Portable Appliances & Tools .....Toys, Hobbies, Games GOVERNMENT, MILITARY, AEROSPACE .....Central Processor Units .....Computer Peripheral .....Instrument, Test and Control .....Communication, Navigation, Guid. .....Ordinance, Weapon Systems
  Other: 

4. Percentage of products exported at this location:

• Most of the products are exported Some of the products are exported None of the products are exported

5. Job Function/Company Size

• Principal Job Function:
  General or Non-Engineering Mgmt. Engineering Management Product Safety, Test Agency Regulations Engineer Components Engineer Power Systems Engineer RFI/EMI Engineer Engineer, other Reliability, Q.A. Test Engineer Purchasing/Procurement Marketing Sales Rep or Distributor
  Other: 

• Number of Employees at This Location:
  1-9 10-99 100-499 500-999 Over 1,000

6. I specify the following primary power components/subsystems: (Check as many as apply)

7. International approvals required
These agency approvals are important for components which I specify/purchase: