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| 1. | Do you wish to receive a FREE subscription to FoodService Director? |
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| First Name: |
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| Last Name: |
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| Job Title: |
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(Ex: Director, Vice President, Project Manager, etc.) |
| Company Name: |
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(Please provide your Company Name in full: abbreviations could disqualify you) |
| Business Address: |
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| Dept/Mail Stop/Suite: |
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| City: |
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(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
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(Note: Valid email address is required or you could be disqualified.) |
As an important subscriber, Ideal Media values the privilege of contacting you via email. Ideal Media will not sell your email address, and you will be given the opportunity to opt-out of any email correspondence you receive.
| 2. | Indicate your preferred delivery address: |
Business Address (above)
Home Address (below)
P.O. Box (below)
Delivery Address (if different from business address above)
| | 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.
| 3. | Are you a decision maker who works for a non-commercial foodservice operation in the United States? |
Yes
No
| 4. | At which of the following locations do you work? (select only one) |
| 5. | Which of the following market segments best describes your foodservice operation? (select only one) |
| 6. | What are your gross annual food/beverage purchases for non-commercial establishments including alcoholic beverages? (select only one) |
| $5 Million and over |
$200,000 to $299,999 |
| $1 Million to $4,999,999 |
$100,000 to $199,999 |
| $500,000 to $999,999 |
Under $100,000 |
| $300,000 to $499,999 |
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| 7. | Which of the following best describes your title? (select only one) |
| Food Service Management (Manager or Director of Food Service, Food/Beverage, Dining Service, Dietician, Chef) |
| Operations Management (Administrator, General Manager, Business Manager) |
| Purchasing Operations (Purchasing Director, Purchasing Agent, Procurement Officer, Buyer) |
| Company Officer (President, Partner, Owner, Executive VP, VP, Senior VP, Secretary, Treasurer, Controller) |
| Corporate Liaison |
| Other (please specify) |
| 8. | How many foodservice establishments are you responsible for? (note: whole number please; ranges cannot be accepted) |
| 9. | Which of the following services do you offer? (select all that apply) |
| 10. | As an added value, you will automatically receive FREE FoodService Director email Newsletters. If you DO NOT WISH TO RECEIVE this, please indicate by checking the box below. |
I do not wish to receive FSD eNewsletters
| 11. | In lieu of a signature, the publisher requires a unique identifier used only for subscription verification purposes. What is the month of your birth? |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
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| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
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| Related FREE Offers from TradePub.com: Check those you wish to receive. |
As an important subscriber, Ideal Media values the privilege of contacting you via email. Ideal Media will not sell your email address, and you will be given the opportunity to opt-out of any email correspondence you receive.
| | Are you a decision maker for a commercial foodservice location such as: restaurant, hotel, resort, club (excluding military)? |
Yes
No
| | Which one of the following best describes your title? (select only one) |
| Company Officer: President, Owner, Partner, Vice President, Secretary, Treasurer, Operator |
| Food Service Management: Manager or Director of Food Service, Food/Beverage, Dining Service, Dietitian, Chef |
| Operations Management: Administrator, Innkeeper, General Manager, Business Manager |
| Purchasing Operations: Purchasing Director, Purchasing Agent, Buyer |
| Other (please specify) |
| | What term best describes your restaurant/establishment? (select only one) |
| | What is your company's gross annual food/beverage sales including alcoholic beverages? |
| | How many units/locations with foodservice does your organization operate? |
| | Please identify your areas of responsibilities within your operation? (select all that apply) |
| | Identify the type of location in which you work? |
Please specify for Other:
| | As an added value, you will automatically receive the FREE RB Email Newsletter. If you DO NOT WISH TO RECEIVE this, please indicate by checking the box below. |
I do not wish to receive the enewsletters.
| | In lieu of a signature, a unique identifier is required and used only for subscription verification purposes. What is the month of your birth? |
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What is the approximate number of employees in your company? |
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Which of the following is closest to your job function? |
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Which of the following is closest to your job function? |
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What is the number of employees in your entire organization? |
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You will receive subscription and renewal notices from BNP Media via email. |
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Check the category that best describes the primary product produced at your company: (select only one) |
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Prepared Foods & Specialties/Ingredients: Including prepared dinners/meals/entrees (incl. ethnic foods); prepared side dishes; baby foods; pizza; ready-to-eat breakfast foods; pet foods; ready-to-mix desserts (incl. gelatin); peanut butter and pasta. |
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Prepared Fruits & Vegetables/Ingredients: Including prepared fruits & vegetables, jams, jellies, preserves, soup & soup mixes; ketchup, sauces, gravies, condiments, seasonings, flavors & syrups; oils, salad dressing & mayonnaise, and pickled products. |
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Prepared Meat, Poultry & Seafood/Ingredients: Including prepared meat, sausage, poultry, eggs, and seafood products. |
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Dairy Foods/Frozen Novelties/Ingredients: Including cheese (imitation and natural); whipped toppings; margarine & butter, ice cream & frozen novelties; yogurt, cottage cheese, dips, sour cream, milk & milk substitutes. |
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Bakery Foods/Ingredients: Including sweet goods, pastries, pies, snack cakes, cookies; crackers, biscuits, breads & rolls; English muffins, bagels, croissants, breadsticks, etc. |
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Beverages/Ingredients: Including coffee & tea; non-carbonated beverages & beverage mixes; fruit & vegetable juices, carbonated beverages; wine, beer, liquor. |
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Snack Foods/Candy/Ingredients: Including potato chips, corn & other chips, pretzels, nuts, popcorn, granola bars, meat snacks, candy, gum, chocolate. |
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Manufacturer of Nutritional Supplements, Nutraceuticals and/or Ingredients |
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R&D Center or Headquarters of a Food and/or Beverage Manufacturer |
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Food Service |
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Universities |
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Independent R&D Labs, Government |
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Other |
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Please specify for Other: |
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In the performance of your job, in which of the following functions are you involved: (select all that apply) |
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What is the total number of employees at this location? |
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Check the products you buy, specify, recommend, or influence the purchase of for your company: (select all that apply) |
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Which of the following best describes your title? (select only one) |
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Research & Development: President/VP of R&D, Food Tech, Scientist |
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QA/QC: Quality Assurance Manager, Quality Control Manager |
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General Management & Administration: Owner, President, Partner, General Manager |
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Marketing: Category/Brand/Product Manager, Marketing Director |
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Purchasing: Purchasing Director/Supervisor, Purchasing Agent, Buyer |
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Sales: VP of Sales, Sales Director, Sales Manager |
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Other |
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Please specify for Other: |
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Does your company manufacture/develop food and/or beverages for: (select all that apply) |
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Please check you preferred format: |
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In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth? |
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| | Security Check: Enter both words below, separated by a space. |
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