Tablets & Capsules

TC0315

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Do you wish to receive (continue to receive) Tablets & Capsules? n Yes n No How do you wish to receive Tablets & Capsules? n Print n Digital Name Title Company Business Address Mailstop City ST Zip Business Phone FAX E-mail Signature Date / / TC BI JF PS Please sign and date. Affix postage and mail or fax to 651/287-5666 or 651/287-5650. Y o u c a n a l s o s u b s c r i b e o n l i n e a t w w w . t a b l e t s c a p s u l e s . c o m . CSC Publishing will use mailing information, phone, fax and email to ensure delivery and maintain your FREE subscription. Pass this on to a co-worker so they can get their own subscription to Tablets & Capsules Principal job function (check only one): 1. n Process/Production Engineering 2. n Validation 3. n R&D 4. n QC/QA 5. n Plant Management 6. n Operations Management 7. n Corporate Management 8. n Consulting Engineering 9. n Packaging Management Do you currently manufacture tablets at this location? n Yes n No Do you currently manufacture capsules at this location? n Yes n No Numbers of employees at this location: 10. n 1,000 or more 11. n 500-999 12. n 100-499 13. n 50-99 14. n 20-49 15. n Under 20 SUBSCRIBER If you qualify, Tablets & Capsules will be sent to you without cost or obligation. Please note: unless all information is given, magazine cannot be sent. 21. n Pharmaceutical Manufacturing 22. n Nutraceutical Manufacturing 23. n Vitamin Manufacturing 24. n Food Manufacturing 25. n Chemical Manufacturing 26. n Contract Manufacturing/Packaging 27. n Consulting Engineering 28A. n Educational Institutions 28C. n Pharmaceutical Materials 28G. n R&D Labs 28. n Other What is your company's primary business? (check only one): TC1014_BindIncard_Layout 1 1/8/15 1:44 PM Page 2

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