ComponentSource Registration Form

Thank you for taking the time to register with ComponentSource. Please complete all the questions below and on completion press the æSubmitÆ button. We will make sure you receive your free, regular ComponentSource CDs.

For our EXPRESS Registration Service call:
+44 (0) 118 958 1111

Your Details

Who do you currently report to day-to-day?

Who is the most senior IT Manager in your department?

Do you know any colleagues internally or externally, who could benefit from receiving ComponentSource CDs?

First Name
Last Name
Salutation	Mr Mrs Ms
Job Title
Company
Address 1
Address 2
Town
County/State
Post/Zip Code
Country
Telephone Number (Work)
Telephone Number (Home)
Fax Number
E-Mail Address
What is the nature of your company's business?
How would you describe yourself?
Primarily, what is your main speciality?
Can you yourself write software	Yes No
Does your job involve writing software on a day-to-day basis	Yes No
Which programming languages do you know?
Which programming languages do you know best?
What Languages would you like to acquire skills for?
Name
Job Title
Name
Job Title
Are you currently using software components, companion products or add-ons in your projects?
Commercially	Yes No
At Home	Yes No
How do you source/buy your component products currently?
Do you have internet access?	Yes No
Have you developed a component that could be sold commercially?	Yes No
If you had to choose ONLY ONE IT magazine out of all that you read, which one would it be?
If you had to choose ONLY ONE IT exhibition/event to attend, which would it be?
Name (Friend 1)
Company
Telephone
Name (Friend 2)
Company
Telephone
Name (Friend 3)
Company
Telephone
How do you prefer to receive information about new products?	E-mail Fax Mail
Please describe any concerns you have about using third party components in your own software

ComponentSource Registration Form

For our EXPRESS Registration Service call: +44 (0) 118 958 1111

For our EXPRESS Registration Service call:
+44 (0) 118 958 1111