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What are the first two letters of your father's first name?*

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Title*

Job Function*
Initials*

(tick all relevant boxes)
Surname*

Production Director
Job title*

Production Manager
Company name*

Production Engineer
Department

R&D
Address 1*

Works/Maintenance Engineer
Address 2

Quality Control
Town*

Buyer
County*

System Integration
Postcode*

Director/General Management
Telephone*

Facsimile

E-mail*

Other
No of employees at this address*

Activity of Organisation*
No of engineers*

(select one only)
Do you expect to place sub-contract work within*

6 months

Metal Goods

12 months

Mechanical Engineering
Name of person who places sub-contracting

Electrical/Electronic Engineering
Number of Metal Cutting Machines*

Motor Vehicle/Parts
Number of Metal Forming Machines*

Other Transport Equipment
Are any of the above CNC Machines?*

yes no

Aerospace
Do you expect to install CNC?*

yes no

Instrument Engineering
Will this be within* 6 months

Sub Contract

12 months

Other (specify)