| |
| 1. | Do you wish to receive a FREE subscription to Cogeneration & On-Site Power Production? |
Yes
No
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | Magazine format: (select only one) |
Print
Digital (subscribers from India eligible for this format only)
| 3. | Type of company or organization? (select only one) |
| 4. | What is your job function? (select only one) |
| 5. | What is your purchasing influence for cogeneration products? (select only one) |
Authorize
Specify
None
| 6. | What is the value of cogeneration goods you authorize or specify per year? (select only one) |
| 7. | What is the number of employees at your establishment? (select only one) |
| 8. | In lieu of a signature, PennWell Corporation requires a personal identifier. What is the first initial of your father's name? |
| 9. | Would you like to receive Cogeneration & On-Site Power Production eNewsletter? |
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. |
| |
Job Function: |
|
| |
Industry: |
|
| |
What is the approximate number of employees in your company? |
|
| | What best describes your firm? (select only one) |
Please specify for Other:
| | What is your principal activity? (select only one) |
| | Please check ONE of the following that best describes your title: (select only one) |
Please specify for Other:
| | I have the authority to specify, approve or buy the following: (select all that apply) |
| Process Systems and Equipment |
Pumps, Valves, Seals, Packing and Related Products |
| Piping, Fittings and Related Products |
Flow, Pressure and Level Measuring Equipment and Accessories |
| Chemicals, Biochemicals and Handling Equipment |
Sampling and Analyzing Equipment and Instrumentation |
| SCADA (Supervisory Control & Data Acquisition) |
Engineering, Construction, Operational and Maintenance Services and Equipment |
| Corrosion Control Systems and Materials |
Laboratory Equipment, Supplies and Services |
| Electrical and Mechanical Equipment |
Filtration Equipment |
| Computers - Hardware and Software |
Stormwater Related Products |
| Security and Safety Equipment |
None of the Above |
| Structures, Storage Facilities and Related Products |
|
| | 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 initial of your father's name? |
| | What is your primary business at this location? (select only one) |
Please specify for Other:
| | What is your primary job function? (select only one) |
Please specify for Other:
| | Which turbomachinery or systems you are involved in? (select all that apply) |
| | May Business Journals, Inc. send you email notices regarding your subscription? |
Yes
No
| | May Business Journals, Inc. send you email from relevant third parties? |
Yes
No
| | In lieu of a signature, please tell Business Journals, Inc. what month were you born in. |
| | Which of the following best describes your job function? (select only one) |
Please specify for Other:
| | Which of the following composite moulding techniques do you use or specify? (select all that apply) |
| | Which of these activities is your company involved in? (select only one) |
Please specify for Other:
| | Select the ONE category that most closely describes the main type of composite parts your company produces or uses. (select only one) |
Please specify for Other:
| | Which of the following will you/your company purchase, recommend or authorize in the next 12 months? (select all that apply) |
| | Approximate budget for the above? (select only one) |
| | Your company size (number of employees at your site)? (select only one) |
| | Would you like to receive Reinforced Plastics Weekly - a free electronic newsletter on composites? |
Yes
No
| | Normally, the auditors who verify Elsevier Limited's circulation require you to sign the registration card to validate your free subscription, but this is not possible on a web page. Instead they ask a qualifying question that must be answered: What is the name of the last high/secondary school attended? |
| | The information that you provide on this form will be used only by Elsevier - The Boulevard, Langford Lane, Kidington, OX5 1GB, UK - and its affiliates worldwide to keep you up-to-date with Elsevier's composites related products and services and will not be sold, rented or distributed to any non-affiliated third parties without prior permission. With your consent, your contact details may, from time to time, be used to communicate to you promotional and other information regarding Elsevier's products and services. |
Please tick the boxes which apply if you do not wish to receive special offers and promotional material from Elsevier concerning Elsevier and affiliated composites products and services:
Please tick the boxes which apply if you do wish to receive special offers and promotional material concerning products and services from non-affiliated third parties:
 |
| | Security Check: Enter both words below, separated by a space. |
|
|