Voice Coil
Qualification Form

Subscriber Name:


Subscriber Company:


Subscriber Address:


Email Address or phone number for verification purposes:

Verification Question: Please enter your Eye Color for verification purposes:

A. Would you like to receive Voice Coil? Yes No

B. What is your principal job function?

Design Engineering Technical Support Staff R & D Engineering Purchasing Staff Electrical/Electronics Engineering Corporate Management Materials Engineering Sales Acoustic Engineering Quality Control/QA/Product Testing Engineering Management Other (Specify)

Other (specify)

C. Choose your primary type of business at this location.

Manufacturing Engineering/Design Service/Installation Consulting Retail Sales Other (Specify)

Other (specify)

D.Choose you primary type of industry at this location.

Consumer Audio Car Audio Professional Audio Industrial Applications Other (Specify)

Other (specify)

E. Choose you primary product at this location.

Finished Loudspeakers Loudspeaker Drivers Electronic Loudspeaker Components Non-electronic Loudspeaker Components Software (design, measurement, etc.) Other products or systems in which loudspeakers are a component Other product (Specify)

Other (specify)

F. What is the estimate annual sales volume ($ worldwide)?

Over $500 million $100-$499 million $50-$99 million $25-$49 million $10-$24 million $1-$9 million Less than $1 million

G. What is the total number of employees at all locations?

Less than 10 employees 11-25 employees 26-50 employees 51-100 employees 101-500 employees 500+ employees

H. Which of the following do you buy, specify or influence the purchase of?

Thank you for completing this qualification form. You will be contacted shortly with your qualification status.