Information Request Form

Microwave Component Marketing, Inc.

Thank you for your interest in MCM's line of products and services. Please complete the form and send it to us. We will contact you as quickly as possible to discuss solutions for your application(s). Items marked with an asterisk * are required.

 

Section 1

1.1 What type(s) of products or services do you require?
Cellular antennas GPS antennas
Microwave antennas Antenna positioners, tracking systems
Radomes Cables, connectors, assemblies
Waveguides Couplers, dividers, feeds, switches
Filters Crystals
Frequency sources Mixers, VCOs, detectors, limiters
Power amplifiers Low-noise amplifiers
Upconverters, downconverters Transmitters, receivers
Telemetry subsystems Instrumentation
Power supplies, batteries Printed circuit card design/production
Engineering services Other
1.2 Please briefly describe your application *

1.3 Please indicate the type of information package you would like to receive:
Product Information
Price Quotation
Company Information
Other

Section 2

2.1 How would you like to receive this information?
By Email By Regular Mail By Fax Call me Personal visit
2.2 What days and times are best to contact you?

2.3 How soon will you make a decision to purchase?
Immediately
3-6 months
7-12 months
A year or more

Section 3

3.1 Please provide us with your contact information:
Name *:
Title:
Company*:
Address*:

City*:
State/province*:
Country*:
Post/zip code:
Phone*:
Email:
Company Web Site:
3.2 Would you like to be added to our mailing list?
Yes No