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| 1. | Do you wish to receive a FREE subscription to CustomRetailer? |
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| | 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. | Is your company involved in custom installations? |
Yes
No
| 3. | What is your primary business? (select only one) |
| 4. | What is your primary job function? (select only one) |
| 5. | What type of products and services do you specify/recommend and/or purchase? (select all that apply) |
| 6. | Which of the following markets does your company serve? (select only one) |
Residential
Commercial
Both
None
| 7. | Please check the total annual custom installation sales volume of your company. (select only one) |
| Over $10 million |
$500,000 to $999,999 |
| $5,000,000 to $9,999,999 |
$250,000 to $499,999 |
| $1 million to $4,999,999 |
Less than $250,000 |
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I wish to receive a complimentary subscription to Official Magazine
- the nation's leading source for information about plumbing & mechanical safety codes, as well as codes and safety standards for many diverse areas including swimming pools, solar energy, recreational vehicles and manufactured housing. This publication is geared toward plumbers, mechanical contractors, manufacturers, and government and safety officials who need to know safety code information, as well as proposed changes, safety requirements, and breaking developments and trends.
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Professional Field: |
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Specialty Field: |
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Is your company a converter or a manufacturer? (select only one) |
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Which products does your location convert or manufacture? (select all that apply) |
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Flexible packaging (bags, pouches, wraps, paper, plastic or foil) |
Unprinted rolls or sheets (paper, paperboard, film, foil) |
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Tapes, labels or tags |
Other products |
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Paperboard packaging (folding cartons, corrugated containers, fiber cans, tubes, drums, set-up boxes, molded fiber goods) |
None of the above |
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How many people work at your location? |
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Which converting processes does your location perform? (select all that apply) |
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What width of materials does your location convert or print? (select all that apply) |
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For verification purposes only, please indicate the first letter of the city in which you were born. |
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Number of employees: |
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Type(s) of installations: (select all that apply) |
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Systems/Products currently installed: (select all that apply) |
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In which ways may United Publications contact you regarding your subscription? (please indicate all acceptable ways.) |
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In lieu of a signature, Audit Bureau regulations require that United Publications ask a validation question as proof of your request to subscribe. Please enter your response to the Personal Identifying Question below. From 1 through 31, what date in the month were you born? |
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