Company:

First:

Last Name:

Title or Position:

Address:

City:	State:		Zip:
Country:
Phone:	Ext:	Fax:
Email:

Type of Company:
	OEM		Import/Exporter		Contract Mfg
	Distributor		Engineering Firm		Other

Type of products specifically interested in:  please check mark each box
Capacitors	Crystals	Connectors	Bridges
Thermistors	Varistors	Power Resistors	Switches
Resistors	Networks	Chokes	Coils
Inductors	Ferrite Beads	Fans	Rectifiers
LED's	LCD's	Displays	Lamps

I have an interest in the following mfg's:  please check mark each box.
Alpha	IRC	Meritek	Silonex
Adam Tech	JKL-Stanley	Micro Ohm	Sloan
American Bright	Keystone	Mills	Solid State
AMP	Thermometrics	MMD	Stanley
Astron	Kingbright	Molex	Susco
ASJ	Jamicon	Mountain Switch	TAD
Augusta	Maglayers	National Semi	Taiwan
Arcol	Marktech	Memco	Semiconductor
Bivar	Fastron	New jersey Semi	Tecate
Cal Chp	Eldema	Nissei-Denki	Thin Film
Chicago Miniature	Hantronix	Pacific Resistor	Tocos
Clairex	Harwin	RG Allen/Cotco	Visual Com
C.K.E.	HiQ Magnetics	Rideon	Vishay
Data Display	Ho Chien	Senior	Wieson
DGS Pro Audio	Globe	Oshino	Winpoint
ECS	Elna America	Oupiin	Wima
EDI	Huntington electric	Samtec	Xicon