compINSIGHT® Photonics Compensation Survey 
U.S. SUBSCRIPTION AGREEMENT

Please complete the following form to subscribe to the survey. Please answer each question. 
We are currently investigating technologies that allow for the secure transfer of funds via the Internet. In the interim, print the subscription agreement, sign it, and forward it along with payment to:
If subscribing from either the U.S. or Canada, please forward your subscription agreement to:

compINSIGHT
2283 Capistrano Drive, Suite 100
Kelowna, B.C. CANADA
V1V 2M9
Telephone: 1-888-491-1693
Fax: 1-877-491-9663
E-mail: info@perssyst.com

Make checks payable to PERSONNEL SYSTEMS 
This agreement provides for a one-year subscription to the Compensation Survey for the High Technology Industry. By signing this agreement, the participant agrees to abide by the following conditions: 


1. I will submit salary and benefits data for my company at least two times (every 6 months) during the next 12 months. 
2. If data are not submitted as stipulated, my access to reports will be suspended until current data is submitted. 
3. I will have access to reports once my company's data and full payment are received.
4. No cancellation once agreement is received by Personnel Systems.    

Company Name:
Contact Name:
Title:
Address:
Address Line 2:
City:   State:  
Zip Code: 
Telephone (incl. ext.):   Fax: 
E-mail:
Where did you hear about the survey? I did an online search
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I participated at my previous job
Through OCG, OSA, FEOIA or AOIA
Other: 
ONLINE ACCESS
Please indicate the names of up to three users requiring access, and their level of Read (reports) and Write (data input) access. 


Level 1 – Full Read and Write access 
Level 3 – Write access only 
Level 4 – Read access only 
USERS LEVEL
1. Name & Title: 
Phone/Ext.: 
E-mail: 		 1   3 4
2. Name & Title: 
Phone/Ext.: 
E-mail: 		 1  3 4
3. Name & Title: 
Phone/Ext.: 
E-mail: 		 1   3 4

MEMBERSHIP
Please indicate if you are a member of: 
Optical Capital Group  Optical Society of America (Corporate) 
Florida Electro-Optics Industry Association  Arizona Optics Industry Association 
     (Members save 10% off full price) 
PRICE SCHEDULE
Please select the appropriate price  Members Non-Members
<40 Employees  >40 Employees  <40 Employees  >40 Employees 
$810 $990 $900 $1100 

 
PAYMENT (all prices indicated in U.S. currency)
Payment enclosed for full amount 
Please invoice me for the full amount 

NOTE: 
  • If subscribing to more than one compINSIGHT® compensation survey, full price will be charged for the 1st subscription. A 15% reduction will be applied to all subsequent subscriptions. This does not apply to the Biotechnology or Legal surveys at this time. 
  • Subscription agreement cannot be accepted without authorizing signature unless full payment accompanies the agreement. 
 (Please click to check for errors prior to printing) 

Authorizing Signature: _____________________________________________________
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