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.

Select digit 0 1 2 3 4 5 6 7 8 9

Primary Function: (select only one)

Select Primary Function General Management Production Purchasing Marketing/Sales Research Other (please specify)

Please specify for Other.

Primary Occupation: (select only one)

Select Primary Occupation Petfood Manufacturer Petfood Distributor/Broker Petfood Buyers at Chain Stores/Superstores Supplier to Industry Importer/Exporter of Petfoods, Snacks/Treats Government Feed Control Official University Other (please specify)

Please specify for Other.

Distribution Method:

Select Method Direct to retailer Distributor/wholesaler

Type of Product Manufactured or Distributed: (select all that apply)

Dry	Soft/Dry
Wet/Canned	Treats
Soft/Moist	Other

Species Product Serves: (select all that apply)

Dogs	Fish
Cats	Small Mammals
Birds	Reptiles

Types of Outlets Sell Your Product: (select all that apply)

Food Stores	Farm Stores
Discount Stores	Pet Stores
Veterinarians	Warehouses

Manufacture/Distribute Private Labels?

Yes     No

Do you wish to receive Watt Publishing Company's free bi-monthly email newsletter 'Pet ENews'?

Yes     No