| |
| 1. | Do you wish to receive a FREE subscription to Better Roads? |
Yes
No
May Randall-Reilly Publishing Company use Email to contact you?
Yes
No
| | Which of the following is closest to your job function? (select only one) |
Please specify for Other:
| | What is the approximate number of employees in your company? (select only one) |
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | In lieu of a signature, Randall-Reilly Publishing requires a unique identifier used only for subscription verification purposes. What month were you born? |
| 3. | Business Classification: (select only one) |
| 4. | FOR GOVERNMENT ONLY Please check ONE category that best describes your agency's function: (select only one) |
| 5. | FOR CONTRACTORS AND OTHERS Please check ONE category that best describes your agency's function: (select only one) |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
Yes
No
| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
Yes
No
| Related FREE Offers from TradePub.com: Check those you wish to receive. |
By providing your fax number, email address, and personal id on this form you are agreeing to receive from Randall-Reilly Publishing Co. faxes or email pertaining to subscription renewal notices or forms, subscription information or advertising that may be of interest to you.
You may receive renewal reminders via email. If you do not want to receive other business-related third-party email offers please check here.
| | In lieu of a signature, Equipment World requires a unique identifier used only for subscription verification purposes. What is your month of birth? |
| | Please check the primary business/function of your company/organization: (select only one) |
| 1.A. FOR CONTRACTORS ONLY |
| Highway & Heavy Construction -- Contractors primarily engaged in construction of highways, streets and roads, bridges/overpasses and airports, underground construction, excavating, marine construction, demolition, water/sewer/related utilities, drilling and/or the construction of projects other than building erection |
| General Building Construction -- Contractors primarily engaged in construction of heavy buildings and tract development (not home builders) |
| Engaged in Both -- Contractors substantially engaged in both categories described above |
| Other Contractors -- Electrical, mechanical, and other contractors (please specify) |
| 1.B. FOR NON-CONTRACTORS ONLY |
| Construction material producer (sand, gravel, stone, lime, cement, ready mix, asphalt) |
| Utility |
| Mining |
| Equipment rental |
| Dealer/Distributor of components, parts, supplies, and accessories |
| Manufacturer of Construction Equipment or Supplies |
| Other (please specify) |
| | What is your primary job title? (select only one) |
| Upper Management: CEO's, Chairmen of the Board, Owners, Partners, Presidents, Vice Presidents, CFO's, Treasurers |
| Middle Management: Administrators, Managers, Supervisors, Superintendents, Master Mechanics, Engineers, Purchasing Agents, Other Executive Officials |
| Equipment Staff: Equipment Superintendents, Shop & Mechanical Supervisors, Fleet Superintendents, Estimators, and Heavy Equipment Operators |
| Other: Other titled and nontitled personnel and company addressed copies (please specify) |
| | What is your firm's annual CONTRACT or SALES VOLUME? |
| | What is your firm's replacement value of CONSTRUCTION EQUIPMENT & TRUCKS owned and/or leased for your company's use? |
| | In the performance of my job, I have the authority to specify, select, and/or approve acquisition of the following: (select all that apply) |
| Excavating, grading, and/or other types of earthmoving equipment |
Construction materials (cement, steel, pipe, ground support fabrics) |
| Materials producing and/or paving equipment |
Parts, components, and/or automotive accessories (engines, transmissions, tires, filters, hoses) |
| Lifting and hoisting equipment (cranes, lift trucks, hoists, derricks, concrete pumps) |
Forming, scaffolding and/or false work |
| Trucking and hauling equipment (on- and off-road trucks, haulers, pickups, mixers, truck bodies, trailers) |
Financing, Insurance and/or bonding |
| Maintenance equipment, tools and/or supplies |
Computer hardware/software |
| General utility equipment (compressors, pumps, generators, lighting, mixers) |
Attachments |
| Safety equipment and/or apparel |
None of the above |
| |
In lieu of a signature, Randall-Reilly Publishing requires a unique identifier used only for subscription verification purposes. What month were you born? |
|
| |
Please check the activity best describing the primary business conducted at this location. |
| |
Your primary job title is: |
|
| |
|
| |
Please Specify for Other: |
| |
Do You Operate: |
|
| |
Number of Mechanics and/or Machinists: |
|
| |
Total annual sales and service Volume: |
|
| |
Services performed at this location. (select all that apply) |
|
|
 |
I wish to receive a FREE subscription to CE Pro (Custom Electronics Professionals).
CE Pro (Custom Electronics Professionals) magazine is the key resource for custom electronics professionals. They help dealers and installers stay current on products, understand technology and run profitable businesses. Each issue contains articles to help your business grow, adding insight to home networking, whole-house automation, digital media, distributed audio and video, home theater, lighting control, structured wiring, energy management and security.
Note: Offer Valid in USA (Print or Digital Edition), Canada, & United Kingdom (Digital Edition Only).
|
| |
In lieu of a signature, EH Publishing Inc. requires a personal identifier. To verify that you submitted this application please answer the question below. In which month were you born? |
|
| |
How many employees are at your location? |
|
| |
Since Watt Publishing Company cannot capture a signature, their auditors require them to ask a question that is only verifiable by the individual completing the form. Please provide the last digit of your year of birth. |
|
| |
Please check the primary end product manufactured or service provided at your location: (select only one) |
| |
Indicate Annual Sales Volume: |
|
 |
| | Security Check: Enter both words below, separated by a space. |
|
|