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| 1. | Do you wish to receive a FREE subscription to Food and Beverage Packaging? |
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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. | Check the box that best describes the business activity at this location: (select only one) |
| Food |
| Prepared Foods and Specialties (Including prepared dinners/meals/entrees, side dishes, breakfast foods, pizza, ready-to-mix desserts, soups, hors d'oeuvres, sandwiches) |
| Prepared Meat, Poultry, Seafood (Including frozen, canned, smoked, beef, pork, lamb, veal, chicken, turkey, other poultry, fish, shellfish, sausage, deli, egg products) |
| Fruits, Vegetables, & Condiments (Including prepared and canned fruits, vegetables, jams, jellies, preserves, ketchup, sauces, salads, gravies, condiments, flavors & syrups, salad dressing & mayonnaise, picked products and potatoes) |
| Dairy Products (Including milk, margarine, butter, cheese, cottage cheese, yogurt, ice cream, frozen novelties, dips, sour cream, whipped cream & toppings) |
| Bakery Products (Including bread & rolls, cookies, crackers, cakes, pastries, pies, donuts, granola, muffins, bagels, biscuits, croissants) |
| Snack Food/Candy (Including potato chips, corn chips, tortilla chips, pretzels, popcorn, nuts, meat snacks, fabricated chips, dried fruit, chocolate candy, non-chocolate candy, cough drops, gum, energy & breakfast bars) |
| Dry Food (Including flour & grain mill products, sugar, roasted coffee, macaroni, rice, oils) |
| Pet Food (Including dog/cat food, prepared feeds) |
| Beverage |
| Soft Drinks (Including carbonated & diet beverages) |
| Non-Carbonated Beverages (Including non-carbonated beverages, coffee & tea drinks, powders, mixes, fruit & vegetable juices, power & energy drinks) |
| Water (Including carbonated, non-carbonated, flavored water) |
| Alcoholic Beverages (Including beer, wine, liquor) |
| Other (please specify) |
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| 3. | My primary job title is: (select only one) |
| General Corporate Management (Chairman of the Board, President, Vice President, Secretary, Treasurer, Owner, General Manager) |
| Production/Engineering (Production Manager, Vice President of Production, Chief Engineer, Plant Manager, Industrial Engineer, Quality Control/Assurance) |
| Marketing (Vice President Marketing, Director Marketing, Sales Manager, Product/Brand Manager) |
| New Product Development (Vice President Research & Development, Development Engineer, Chief Chemist, Technical Director, Food Scientist) |
| Package Design (Design Director, Package Designer, Package Design Engineer, Industrial Designer, Graphics Designer) |
| Traffic/Shipping (Distribution Manager, Traffic Manager, Warehouse Manager, Shipping Manager) |
| Purchasing (Vice President Purchasing, Purchasing Agent, Buyer, Procurement Manager) |
| Other (please specify) |
| 4. | Number of employees at this location? (select only one) |
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