Sustainability Survey

Question Title

* 1. Contact Information

Name *

Company *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country *

Email Address *

Phone Number

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* 2. What is your title and/or role in your organization?

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* 3. Does your organization currently have sustainability goals they are working towards?

Yes

No

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* 4. Please select the areas of sustainability that you are interested in learning more about.

Recycling Services

Solder Materials that use Recycled Tin

Electronics - Electric/Hybrid Vehicles

Electronics - Photovoltaics

Electronics - Wind Farms

Conflict-Free Minerals

Lead-Free/Halogen-Free Materials

RoHS/REACH Compliance

Other (please specify)

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* 5. Are you interested in working with Alpha on sustainability projects?

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* 6. Please explain further and/or add comments.