First Name*
Last Name*
Company Name*
Address 1*
Address 2
City*
Country*
State/Providence*
Zip/Country Code*
Phone*
Email*
Which answer below best describes the business you are in? ---I assemble printed circuit boardsI am a manufacturer of new pick and place machines or other automationI am a seller of used, second hand, and/or refurbished equipmentI am a Distributor or a Manufacturer's RepresentativeOther Specify
Which Placement Machines do you use? ---AssembleonMyDataSiemensFujiPanasonicUniversalJukiSamsungYamahaNone
PO Number (if you have one)
Timeframe to Purchase
Products
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