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| New Customer Application |
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| * SIGNIFIES A REQUIRED FIELD |
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| Is your company involved, directly or indirectly, in the design, development, production or use of any nuclear device activities? |
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| Is your company involved, directly or indirectly, in the design, development, production or use of any missiles or missile technology? |
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| Is your company involved, directly or indirectly, in the design, development, production, stockpiling or use of any chemical or biological weapons? |
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| Is your company involved, directly or indirectly, in any anti-boycott activities? |
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Does your company purchase products, directly or indirectly, for any other entity? |
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| Since you answered "Yes" above, please explain further: |
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Is your company a contractor, subcontractor or supplier to the US Federal Government? |
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| Will purchases made through Varian Semiconductor be used to support a US Government contract? |
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