1. Organization Name*

2. Primary Contact Name*

3. Phone Number*

4. Email*

5. Address

1. Brief Description of Organization*
1200 characters max 0

2. Sector*
You can select multiple sectors by holding down the Ctrl key while making your selections. AerospaceDefenseAutomotive and transportationMedical Devices and HealthcareEnergy (Oil, Gas, and Renewable Energy)Mining and Natural ResourcesNuclearConstructionConsumer Goods and ElectronicsAgriculture and Food ProcessingMarine and Ocean TechnologiesTextiles and FashionBiopharmaceuticals and PharmaceuticalsTool and Die ManufacturingJewelry and Luxury GoodsEducational and Research InstitutionsCity Government and MunicipalOther

3. Number of Employees* 1 to 99 paid employees100 to 499 paid employees500 or more paid employees

4. Years in Operation* <1 yearBetween 1 and 3 yearsBetween 3 and 10 years>10 years

5. Annual Revenue Range $30,000-$5,000,000$5,000,000 -$20,000,000>$20,000,000

6. Is your company eligible for IRAP? Click here to check eligibility criteria. YesNoUnsure

1. What type of additive manufacturing (AM) services are you interested in?*
Check all that apply.Metal printing (e.g. Aluminum, Titanium, Stainless Steel, Copper, Maraging Steel)Design assistance (Topology optimization, Lattice structures, Light weighting)Characterization (metallography, 3D scanning, SEM, micro CT scanning, mechanical testing)Training (customized lectures, hands-on experience)Consultation or expert consulting services

2. Describe in more detail the specific need you have for AM services you have selected from the list above. For instance, describe the type of materials, services, or training you may require:*
3000 characters max 0

3. Have you previously used AM technologies? If yes, please describe your experience:
3000 characters max 0

4. How do you think AM will benefit your business?
3000 characters max 0

1. When are you ready to start the project and use the voucher?*

2. When do you expect the project to be completed by?*