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(Please provide your Company Name in full: abbreviations could disqualify you) |
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(Note: Valid email address is required or you could be disqualified.) |
| | 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. | Business Classification: (select only one) |
| 3. | If your firm is a contractor or consulting engineer firm, please check all activities in which your firm is involved: (select all that apply) |
| 4. | 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. |
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| Corporate Management - President, CEO, Chairman, Owner, Partner, Exec/Senior VP, VP, Secretary, Treasurer, Financial Officer, Financial, Purchasing Manager, Office, Branch Manager, other Corporate Manager. |
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| 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. |
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| 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. |
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| Technical - Research, Scientist, Biologist, Chemist, Analyst, Environmental and Pollution Control Spec., Tech. Mgr., Supt. Supv., Foreman, other Technician. |
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| Marketing & Sales - Manager of Marketing/Sales, other Sales/Marketing Person. |
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| 5. | 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. |
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| 6. | 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? |
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What is the number of employees in your entire organization? |
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Primary business of your company or employer. (select only one) |
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Electrical Contracting/Low-Voltage Contracting - includes power (inside, line, lighting, maintenance, control etc.) electrical work, and/or all VDV, security, fire/life safety, fiber optics, home/building automation systems, and integrated building systems applications |
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Engineering/Architecture/Consulting |
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Systems Integration/Consulting |
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Wholesale/Distributor |
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Other |
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Please Specify for Other: |
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Primary job title or function: |
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Please Specify for Other: |
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CHECK ALL of the Building Components you or your Company have installed. (select all that apply) |
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Total number of people who work for your company. (all locations combined) |
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CHECK ALL Construction Types you or your company have performed. (select all that apply) |
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What is your company's estimated total annual sales? |
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In lieu of a signature, National Electrical Contractors Association requires a personal identifier. To verify that you submitted this application please select below the month of your birth. What is the first letter of the city you were born in? |
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Industry: |
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How did you hear about Industry Market Trends? |
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What is the number of employees in your entire organization? |
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