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| 1. | Do you wish to receive a FREE digital subscription to FDM Magazine? |
Yes
No
| | 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. | How many employees are at your location? (select only one) |
(NOTE: If your company has less than 20 employees, you may be interested in CabinetMaker)
| 3. | 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. |
| 4. | Please check your primary job function: (select only one) |
| 5. | Please check the primary end product manufactured or service provided at your location: (select only one) |
| Residential Furniture: |
| Wood Household Furniture, except Upholstered Including Pianos, Organs & Musical Instrument |
| Wood Household Furniture, Upholstered |
| Wood & Composite Television, Radio and Stereo Cabinets |
| Household Furniture NEC, including hampers, framed pictures and mirrors |
| Kitchen Cabinets: |
| Wood & Composite Kitchen Cabinets |
| Architectural/Millwork: |
| Hardwood Dimension, including Wood Components & Flooring Mills |
| Millwork including Stairs, Doors, Windows, Moldings, etc. |
| Commercial Furniture: |
| Public Building & Related Furniture |
| Restaurant, Bar, Boat & Ship and Hospital Furniture & Cabinets |
| Wood Office Furniture |
| Store Fixtures: |
| Wood & Composite Partitions, Shelving, Lockers and Office & Store Fixtures |
| Other Wood Products, including Mobile Homes, Recreational Vehicles, Boats, etc. |
| Services: |
| Laminator |
| Independent Designers (Architectural & Furniture) |
| Dealers, Wholesalers & Jobbers |
| Other (please specify) |
| 6. | Indicate Annual Sales Volume: (select only one) |
| 7. | Would like to receive Watt Publishing Company's email newsletter? |
Yes
No
| | 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. |
| | Business Classification: (select only one) |
GOVERNMENT EMPLOYEES: Please check the level of government in which you are employed.
City and Municipality
Township, Town and Special District (with road jurisdiction)
County (with road jurisdiction)
State (Highway and Toll Road)
Federal
PRIVATE INDUSTRY EMPLOYEES: Please check below a category which best describes your firm.
Contractor
Engineering Consulting
Producer
Other
Please specify for Other.
| | If your firm is a contractor or consulting engineer firm, please check all activities in which your firm is involved: (select all that apply) |
| | Job Title: (select only one) |
Government Administrators - Mayor, City/Town/Village Manager, Administrator, Commissioner, Council Member, Director, Superintendent/Supervisor Public Works, Health, Service, Safety Officials, City/County/District Engineer, Clerk, Airport Manager, Engineer, other Government Administrator.
Corporate Management - President, CEO, Chairman, Owner, Partner, Exec/Senior VP, VP, Secretary, Treasurer, Financial Officer, Financial, Purchasing Manager, Office, Branch Manager, other Corporate Manager.
Operations - General Manager, Director, VP, Manager (Area, Factory, Plant, Product, Division), Supt. of Streets, Highway/Road Supt., Project Engineer, Maint. Supt., Supervisor, Foreman, Operator, Chief Operator, Equipment Operator, other Operator.
Engineering - Vice President, Director, Managing, Chief, Senior, Resident, Staff, Sanitary, Design, Mechanical, Architect, Estimator, Electrical, Chemical, Maintenance, Civil, Structural, Field, Construction, Environmental, EPA, Safety, Traffic, Highway, Road, Consulting, other Engineer.
Technical - Research, Scientist, Biologist, Chemist, Analyst, Environmental and Pollution Control Spec., Tech. Mgr., Supt. Supv., Foreman, other Technician.
Marketing & Sales - Manager of Marketing/Sales, other Sales/Marketing Person.
Other
Please specify for Other.
| | Buying Authority: In the performance of my job I have the authority to specify, select or approve the acquisition of the following: (select all that apply) |
| Earthmoving, excavating, grading and related equip. |
Bridge deck and rail crossing pads. |
| All paving, planning and recycling equipment systems including breakers and compactors. |
Bridges & viaduct structural components & materials. |
| Lifting and hoisting equip. for shop and/or field. |
Computers - Hardware (including workstations, printers, plotters, peripherals) and Software (including CAD, GIS and scheduling). |
| Road maintenance equipment, mowers, plows, sweepers, spreaders and accessories. |
Equipment Leasing/Rental. |
| Trucks, trailers and hauling equipment. |
Financing/Insurance. |
| Road construction materials, including additives, emulsions, sealants, surface treatments, geotextiles. |
Design/Consulting/Engineering Services. |
| Herbicides, applicators and chemicals. |
ITS Technology/Equipment/Services. |
| Lighting, poles, posts, striping, signs and supports, and other road and traffic safety equipment. |
Stormwater/Erosion Control Products |
| Compressors, welding equip., generators, pumps & other general utility equip. for shop and/or field. |
None of the Above |
| Engines, components, parts, equip. maintenance, tools, replacement elements and lubricants. |
|
| | In order to verify your on-line subscription request, Scranton Gillette Communications is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is the first inital of your father's name? |
| | Which of the following is closest to your job function? (select only one) |
| | What is the number of employees in your entire organization? (select only one) |
| | In addition to communications that may result from this inquiry, would you also like to receive news and event notifications from SAP that are specific to your interests? |
| | Please check your preferred format: (select only one) |
Print Version of Restoration & Remediation (FREE)
Digital Version of Restoration & Remediation (FREE)*
*All digital subscribers will receive the print version until digital is available.
| | In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth? |
| | Your fax number is used to communicate to you. By providing your fax number, you are giving your written permission to receive subscription and other related information from BNP Media that may be of interest to you by fax. BNP Media will not share this information or use it for any other purpose. Would you like to receive subscription faxes sent by Restoration & Remediation/BNP Media? |
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No
| | Would you like to receive the Restoration & Remediation e-newsletter FREE of charge? |
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No
| | Your primary business activity: |
Please specify for Other.
| | Your primary job function: |
Please specify for Other.
| | Your purchasing authority: |
| | Your annual sales volume: |
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| | Security Check: Enter both words below, separated by a space. |
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