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IndustryNet Membership Form

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Title:               Mr. Ms. Dr.

First Name:           *

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Company Name: * Your Position Title: Address: * Address: City: * State/Province: * (Two-letter state abbreviation if US) Mail/Zip: * Country: Phone: * Fax:


Extended Company Information


Which category best describes your company? * 

OEM Systems House End User (mfgr) Consulting Firm

Rep/Distributor 

Total number of people employed at your location: * 1 - 7 8 - 49 50 - 149 150 - 249 250 - 499 more than 500

Amount of products/services your group buys or recommends annually: * under 100k 100 - 250k 250 - 500k 500k - 1Mil 1Mil - 2Mil more than 2Mil

Which category best describes your job responsibility? * General & Corporate Management Engineering Management Design & Development Engineering Basic Research Manufacturing & Production Engineering Assistant Purchasing & Procurement Other


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PCs & Workstations               Engineering Software

Networks & Communications        Industrial Computers and Software

PLCs, Interfaces & Displays      Process Equipment & Instrumentation

Motion Control & Robotics        Power Transmission & Drives

Test & Measurement Equipment     Sensors & Identification Devices

Industrial Control Products      Machine Tools & Manufacturing Systems

Mechanical Manufacturing ServicesElectrical/Electronic Manufacturing

Engineering & Consulting Services     


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