Issue link: https://www.e-digitaleditions.com/i/819216
First Name Last Name Job Title Company Business Address City State Postal Code Country Business Phone Business Fax E-mail Signature Date / / 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 Number 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 Do you wish to receive Tablets & Capsules magazine? n Yes n No How would you like to receive Tablets & Capsules magazine? n Print n Digital Do you currently manufacture tablets at this location? n Yes n No Do you currently manufacture capsules at this location? n Yes n No PB JF PS 21 n PHARMACEUTICAL MFG 22 n NUTRACEUTICAL MFG 23 n VITAMIN MFG 24 n FOOD MFG 25 n CHEMICAL MFG 26 n CONTRACT MFG/PACKAGING 27 n CONSULTING ENGINEERING 28 n EDUCATION INSTITUTIONS 29 n EQUIPMENT MFG 30 n PHARMACEUTICAL MATERIALS 31 n MANUFACTURER'S REPS 32 n CONSULTANT 33 n PACKAGING MATERIALS 34 n R&D LABS 35 n GOVERNMENT 36 n OTHER _____________________________ What is your company's primary business? (check only one): CSC Publishing will use mailing information, phone, fax and email to ensure delivery and maintain your free subscription. If you qualify, Tablets & Capsules magazine will be sent to you without cost or obligation. Unless all information is given, magazine cannot be sent. Stay Cool! Pass this card on to a co-worker for a FREE subscription to T&C! You can also subscribe online at www.tabletscapsules.com Please sign and date. Affix postage and mail or fax card today to 651/287-5666 or 651/287-5650. TC0617_BlowIn.qxp_Blowin Card 4/27/17 9:17 AM Page 1