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IRIS Referral Qualification
Step 1:
Enter your information:
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Name:
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Firm:
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Telephone:
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EMail Address:
Step 2:
Enter Opportunity Information:
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Company Name:
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Division Name:
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Industry:
SemiConductor Fabrication
Electronics
Biomedical
Pharmaceutical
Industrial
Other
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Contact Name:
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Title:
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Decision Maker?:
Yes
No
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Address:
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Telephone:
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EMail Address:
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Describe
Primary Business:
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Application:
ESD Protection
Particulate Control
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Primary
Production Activity:
Fabrication
Assembly
Packaging
Storage
Other
Services Required:
Check all that apply
Design & Layout
Site Visit
Cost Estmiation
Engineering
Consultation
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Clean Room:
New
Renovation/Update
Addition
None
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Clean Room Size:
1 - 500 ft
2
500 - 10,000 ft
2
Over 10,000 ft
2
Clean Room Class:
Fed Std 209E
Class 1
Class 10
Class 100
Class 1,000
Class 10,000
Class 100,000
ISO 14644-1
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
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Time Schedule:
Immediate
3 - 6 Months
6 - 12 Months
Long Term
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Budget Range:
Under $10,000
$10,000 - $100,000
Over $100,000
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Project Description:
Step 3:
Click to submit: