| |
| 1. | Do you wish to receive a FREE subscription to Food Product Design? |
Yes
No
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | What is your company's primary business? (select only one) |
| Prepared Foods |
Bakery Products |
| Food Service, Fast Food, QSR |
Bread, Cakes & Related Products |
| Prepared Dinners, Meals, Side Dishes |
Cookies and Crackers |
| Frozen Specialties, Dinners |
Other Bakery Products |
| Meat |
Confectionery |
| Sausages/ Other Prepared Meats |
Candy & Confectionary |
| Poultry Processing |
Chocolate & Cocoa Products |
| Other Meat Products |
Chewing Gum |
| Dairy |
Other Confectionary Products |
| Creamery Butter |
Beverages |
| Cheese, Natural & Processed |
Malt Beverages |
| Condensed & Evaporated Milk |
Wines, Brandy & Brandy Spirits |
| Ice Cream & Frozen Desserts |
Distilled & Blended Liquor |
| Fluid Milk |
Bottled & Canned Soft Drinks |
| Other Dairy Products |
Flavoring Extracts & Syrups n.e.c. |
| Preserved Fruits & Vegetables |
Other Beverage Products |
| Canned Specialties |
Other Food Products |
| Canned Fruits & Vegetables |
Seafood Canned & Cured |
| Dehydrated Fruits, Veg, Soups |
Seafood Prepared Fresh/ Frozen |
| Pickles, Sauces, Salad Dressings |
Coffee Roasted/ Flavored |
| Frozen Fruits & Vegetables |
Potato Chips, Corn Chips & Snacks |
| Other Fruits & Vegetables |
Macaroni, Spaghetti, Noodles |
| Grain Mill |
Nuts & Seeds Salted/ Roasted |
| Flour, Dough, Prepared, Blended |
Shortening & Cooking Oil |
| Cereal Breakfast Foods |
Processed Food Ingredients |
| Dog, Cat & Other Pet Foods |
Other Food Prod & Food Preparations (please specify) |
| Prepared Feeds n.e.c. |
|
| Other Grain Mill Products |
|
 |
| 3. | What is your job title? (select only one) |
| 4. | How many employees work at this location? (select only one) |
| 5. | For which of the following applications are your products/services used? (select only one) |
| 6. | Do you plan to introduce a new product or expand an existing product line in the next 24 months? |
Yes
No
| 7. | Which of the following products do you buy, specify, recommend or influence the purchase of for your company? (select all that apply) |
| 8. | In the performance of your job, in which of the following functions are you involved? (select all that apply) |
| 9. | In order to permit future verifications of your request for a free subscription, we need to ask you a personal identifier. What state were you born in? |
| 10. | Please select whether or not you would like to receive the Food Product Design e-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. |
By providing your email address you grant BNP Media permission to contact you via email regarding your subscription and other products/services.
By providing your fax number you grant BNP Media permission to contact you via fax regarding your subscription and other products/services.
| |
Please check your preferred format: (select only one) |
|
|
| |
Please indicate the type of product your company manufactures/processes/distributes at this location: |
|
| |
Please indicate your job title: (select only one) |
|
| |
General Management/Administration (President, Owner, Partner, Vice President, General Manager, Assistant Manager) |
| |
Plant Operation/Production (Plant Manager, Production Manager, Traffic Manager, Packaging Manager, Maintenance Manager, Distribution Manager) |
| |
Research and Development (Technologist, Chemist, Scientist, Research Technologist, Group Project & Research Scientist, QC/QA Manager) |
| |
Engineering (Engineers: Chief, Project, Design, System) |
| |
Sales/Marketing (Director, Manager, Brand, Assistant, Advertising) |
| |
Purchasing (Purchasing Director, Supervisor, Agent, Buyer) |
| |
Other (Other Titled Personnel) |
| |
Please specify for Other: |
| |
Do you recommend, specify, approve, or purchase any of the following: (select all that apply) |
| |
Please indicate the number of employees at this location: |
|
| |
In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth? |
|
| |
 | I wish to receive a FREE subscription to Industrial Laser Solutions for Manufacturing. It reflects the rapidly changing arena of applications of industrial lasers. Read how industry experts, industrial laser users, and laser systems and component makers find the laser to be a cost-effective solution to many manufacturing problems. Industrial Laser Solutions for Manufacturing: - Will help you solve your manufacturing problems through their extended coverage of the entire field of industrial laser applications.
- Provides the most comprehensive coverage in the industry related to traditional industrial laser applications.
- Covers newer industrial laser applications, such as measurement, inspection, alignment, ablation, sensing, micromachining, and heat treatment.
- Emphasizes using the laser as a manufacturing solution.
- Offers expanded news, new products and feature sections.
- Is the authoritative source of timely information on how lasers are being used and will be used in manufacturing from automobiles to microelectronics to packaging and beyond!
Note: Offer Valid in the USA (Print or Digital Edition), Canada, Mexico, and International (Digital Edition only). |
By providing your fax number, you are agreeing to receive fax broadcasts from PennWell for subscription purposes.
| | I want to receive/continue to receive the FREE Industrial Laser Solutions for Manufacturing E-Newsletter. |
Yes
No
| | I would like to participate in FREE Educational Webcasts. |
Yes
No
| | I would like to receive/continue to receive the FREE Product Watch E-Newsletter. |
Yes
No
You may receive renewal reminders via email. If you do NOT want to receive other business related third party email offers from PennWell, please check here.
| | How would you prefer to receive Industrial Laser Solutions for Manufacturing? |
Printed Magazine
Electronic/Digital Magazine
(Note: Subscribers outside of US are ONLY eligible for the Electronic/Digital version.)
| | Please indicate your principal job function: (select only one) |
Please specify for Other.
| | Which of the following best describes your business or industry? (select only one) |
Please specify for Other.
| | Do you currently use industrial laser systems? |
Yes
No
| | Are you considering purchasing industrial laser systems? (select only one) |
| | How many of each industrial laser systems do you have/use? |
| | Please check ALL applicable categories for products and services that you recommend, specify or purchase: (select all that apply) |
| | Besides yourself, how many other individuals read your copy of Industrial Laser Solutions for Manufacturing? (select only one) |
| | In lieu of a signature, PennWell Corporation requires a personal identifier. To verify that you submitted this application please select below the first letter of your mother's name? |
| |
Which of the following is closest to your job function? |
|
| |
What is the number of employees in your entire organization? |
|
| | 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. |
 |
| | Security Check: Enter both words below, separated by a space. |
|