eplogo.gif

DOMESTIC Free Subscription Qualification/Request

Due to circulation audit regulations, all requests below require complete information for proper processing. Publisher reserves the right to determine subscription qualification or availability.
(Free Subscriptions for DOMESTIC U.S. ONLY. Non U.S. applicants click here.)

1. In what format would you like to receive Electronic Products?

Print     OR      Digital  More information on Digital Subscriptions, click here

2. BUSINESS ADDRESS (Required)
*  denotes a required field in this business address block.

First Name *
Last Name *
Title *
Company Name *
Department/Mail Stop
BUSINESS Street Address *
City *
State *
Zip *
Enter Zip +4 code without the hyphen (e.g. 123456789)
 E-mail Address  *
BUSINESS Phone - - *
Nearest Business Fax  - -

If you prefer HOME DELIVERY, check here  
**  denotes a required field in this address block.

Apt#/Suite#
Home Street Address **
City **
State **
Zip **

3. What is the PRIMARY end product (or Service performed) at this location?
 (Please check ONLY ONE)

(01)  Computers & Computer Systems
(02)  Computer Peripherals: disk drives, terminals, printers, plotters
(03)  CAE/CAD/CAM Systems
(04)  Software Manufacturer/Developer
(05)  Computer Systems Integrator
(06)  Office & Business Machines
(07)  Communications Systems &Equipment
(23)  Commercial/Residential Security/Surveillance Systems
(08)  Industrial Controls, Systems, Equipment & Robotics
(09)  Electronic Instruments, ATE Systems, Design & Test Equipment
(10)  Medical Electronic Equipment
(11)  Avionics, Marine, Space & Military Electronics
(12)  Government & Military Agencies
(13)  Automotive and Other Ground Vehicles
(14)  Consumer Electronics & Appliances
(15)  ICs and Semiconductors
(16)  Other Components, Materials, Hardware, and Supplies
(17)  Electronic Sub-Assemblies (boards, modules, hybrids and power supplies)
(19)  Independent/Academic Research & Development Laboratory
(20)  Technical/Engineering Consulting Firms
...........................................................................
(99)  Others Allied to the Field (please specify):
             

4. What is your Principal Job Function? (Please check ONLY ONE)

 DESIGN AND DEVELOPMENT
(92) Engineering    (91) Management/Executive
...........................................................................
(99) Other Staff (specify):
             

5. Number of Employees at this Address: (Please check ONLY ONE)
(01) Under 25
(02) 25-99
(03) 100-499 		(04) 500-999
(05) 1,000-1,999
(06) Over 2,000
6. Which of the following products, if any, do you authorize, recommend or specify in your job? (check ALL that apply):
 
ICS & SEMICONDUCTORS
(01) uPs/uCs
(02) ASICs (PLDs, FPGAs, etc.)
(03) DSP ICs
(04) Logic ICs
(05) Memory ICs
(06) Communications ICs
(07) Analog/Mixed-Signal ICs
(08) RF Devices
(09) Discrete Semiconductor
(35) Power Management ICs
(36) Wireless & RF/Microwave Devices
 
COMPONENTS
(10) Resistors, Capacitors and Potentiometers
(11) Inductors & Transformers
(12) Switches & Relays
(13) Sensors & Transducers
(14) Display Devices & Indicators
(15) Optoelectronic Devices
(16) Circuit Protection Devices
(17) Microwave Devices
 
PACKAGING & INTERCONNECTIONS
(18) Interconnection Devices
(20) Cabinets & Enclosures
(21) Cooling Products (Fans, Heat Sinks, etc.)
(22) Wire & Cable
 
INSTRUMENTATION & POWER SOURCES
(23) Test & Measurement Equipment
(25) Data Acquisition Hardware/Software
(37) Oscilloscopes
(38) Logic/Waveform Analyzers
(26) Power Supplies
(27) Batteries
 
COMPUTER & COMPUTER PERIPHERALS
(30) Software (PCB Design, Analysis/Simulation)
(32) Displays, Devices & Subassemblies
(33) Computer Boards
 
SERVICE & TOOLS
(39) EDA Tools
(40) Embedded Development Tools
(41) Design Services
(42) Distribution Services
(34) None of the Above
7. Please check the publications below that you receive personally addressed by mail?
(Check ALL That Apply):
(02) EDN
(03) Electronic Engineering Times 		(04) Electronic Design
(05) ECN

(07) None of the above                        
8. EEM is sent FREE annually to a select number of ELECTRONIC PRODUCTS subscribers.
Check here if you DO NOT want to be considered for such a FREE selection of the next edition of EEM. (For more information, visit www.eem.com/about.asp )

Audit Verification (Required)

In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select the first letter of the High School you attended.

What is the first letter of the High School you attended? 

       

For subscriptions outside the U.S. or in Canada, click here