FibreSystems Europe
  FibreSystems Europe is free to qualified professionals. Summary Description
  To apply for a FREE subscription to FibreSystems Europe, please answer ALL of the questions on the form below.
  The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
  Geographic Eligibility: Selected Europe (Print or Digital), Selected International (Digital only)


 
1. Do you wish to receive a FREE subscription to FibreSystems Europe?
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2. How would you like to receive your copy of FibreSystems Europe?
Print (Available to Select European countries)     Digital (Available to Select International countries)


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  What is the approximate number of employees in your company? (select only one)
 
Yes, please auto-fill my contact information for other publication qualification forms.


3. Which of the following best describes your company's operation? (select only one)
MANUFACTURING/SUPPLIER CARRIER/SERVICE PROVIDER cont.
General network systems (voice, video, data) Broadband access provider
Long-/ultralong-haul systems Cellular carrier
Regional systems Utility/energy company providing telecom services
Metro systems Internet/application service provider
Access broadband systems Fibre-optic installation
Component & subsystems/factory automation Consultancy
Test and measurement equipment Data centre/network storage/software services
Military/aerospace equipment END-USERS
Embedded software/development Research and development
Distributor/reseller of fibre-optic communications/equipment or components Government/military
Fibre and cable Business/enterprise using fiber-optics
CARRIER/SERVICE PROVIDER Financial services
International long-haul telco Medical/healthcare
Incumbent national telco Education/institution
Alternative national telco Other (please specify)
Metro/regional telco
Carriers' carrier


4. What is your job function? (select only one)
MANAGEMENT STAFF
Senior management Network/infrastructure/operations engineering
Network infrastructure/operations, network installation/maintenance Network installation/maintenance engineering
Design engineering/manufacturing Design engineering/manufacturing
Operations/manufacturing/test management Operations/manufacturing/test
Product management & business development Research and development
Education/training Other (please specify)
Research and development


5. Please select all of the products or services you purchase, specify or recommend. (select all that apply)
A. CABLE AND FIBRE D. COMPONENTS cont.
Fibre/cable Fixed lasers
Preforms Photodetectors
Fibre manufacturing Integrated photonic devices
Fibre and cable management Sensors
Splicing products Optoelectronic devices
Connectors Tunable lasers
Cleave tools ICs
Polishing tools E. TEST AND MEASUREMENT
Adaptors OTDRs
Specialty fibre Optical spectrum analysers
Patch cords Calibration equipment
B. SUBSYSTEMS Fibre check equipment
Transmitters/receivers Line-width analysers
Cross-connects Optical sweepers
Switches/routers/repeaters Oscilloscopes
Multiplexers/demultiplexers Power meters
Fixed OADMs Signal generators
Amplifiers BER test sets
Power supplies Multimeters
ROADMs Fault locators
C. NETWORK EQUIPMENT F. SOFTWARE
WDM/DWDM Network simulation software
SDH/SONET Network design software
IP equipment Network management software
ATM equipment G. SERVICES
Ethernet technologies Consultancy
Fibre Channel equipment Network installation
Access network equipment Training
Free-space optical systems H. APPLICATIONS
Premises equipment Campus network
Wireless backhaul equipment Local-area network
D. COMPONENTS Metropolitan network
Gratings Premises network
Couplers Access network
Filters Undersea network
Splitters Long-haul network
Modulators Wireless backhaul network
Optical Switches Next-generation networks
LEDs None of the Above (A-H)
Attenuators


6. Who do you buy from? (select all that apply)
Direct from manufacturer
Manufacturer's representative
Distribution


7. Number of employees at your site? (select only one)
0-19 100-499
20-49 500-999
50-99 1000+


8. Apart from you, how many people are likely to read your copy of FibreSystems Europe? (select only one)
0 11-20
1-3 21+
4-10


9. Please select any other publications you receive. (select all that apply)
Lightwave Lightwave Europe
Laser Focus World Telecommunications
Fiberoptic Product News Other (please specify)
Optics & Laser Europe


10. Normally you are asked to sign a registration card to validate your free subscription, but this is not possible on a web page. Instead we ask a qualifying question that must be answered: What are the last two digits of your year of birth? (for example if you were born in 1967 it would be 67)


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  Number of beds in your organization: (select only one)
500 and up 100 - 199
200 - 499 1 - 99
  Please indicate type of Facility / Service / Firm: (select only one)
Hospital/Multi-Hospital System Managed Care Organization (HMO, PPO, Healthplans)
Integrated Delivery System/Health Network Insurance Company
University/Teaching Medical Center/Hospital Third Party Administrators (TPA)/Self-Insured Employer
Military/Government Medical Center/Hospital Pharmacy/Independent Lab
Clinical/Group Practice IT Consulting/Systems Integration
Physician Organization (IPA/PHO) Consulting Firm
Ambulatory Care Center VAR/Vendor of Systems
Long-Term/Sub Acute Care Facility/Nursing Home/Rehab Other (please specify)
Home Health Care Agency
  Please select the category that best describes your title: (select only one)
General and Financial Management Information Management cont.
CEO, President, Executive Director, Administrator Other IT Personnel (please specify)
CFO, Finance Director/Manager
CSO/Security Officer/Director Network/MIS/Data Processing Director/Manager
Planning Officer/Director Health Information Director/Manager
Marketing Officer/Director Coding/DRG Director/Manager
COO, VP, Assistant Administrator Systems Administrator/Analyst/Network Specialist/Project Manager
CCO, Compliance Director/Manager Clinical Management
CPO/Purchasing/Materials Management Director/Manager Chief of Staff/Medical Director/VP of Medical Affairs
Quality Officer/Director Chief of Pathology/Pathologist
Other Administrative Title (please specify) Chief of Radiology/Radiologist
Other Clinical Administration (please specify)
Information Management
CIO, VP of Information Systems, Tech Officer Chief of Laboratory Services/Lab Administrator
Chief of Medical Records/Medical Records Manager Chief of Pharmacy/Pharmacist
Director/Manager of Medical Informatics Chief/VP of Nursing Services/Asst Director/Case Manager
Director/Manager of Telecommunications/Call Center Director/Manager Other Title (please specify)
  What is the number of employees in your entire organization? (select only one)
less than 50 1,000 - 4,999
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