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| 1. | Do you wish to receive a FREE subscription to HVACR Business? |
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(Please provide your Company Name in full: abbreviations could disqualify you) |
| Address: |
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(Note: Valid email address is required or you could be disqualified.) |
Yes, please auto-fill my contact information for other publication qualification forms.
| | What is the approximate number of employees in your company? (select only one) |
| 2. | Do you wish to receive Ahead of the Curve E-Newsletter? |
Yes, I wish to receive Ahead of the Curve E-Newsletter.
No, thanks.
| 3. | Which category best describes your firm's business activity? (select only one) |
| 4. | Do you personally design, specify, recommend, or buy products for mechanical systems? |
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No
| 5. | Which of the following types of work does your firm perform? (select all that apply) |
| 6. | Number of employees at this location? (Annual average includes myself) (select only one) |
| 7. | Which range properly describes your approximate annual sales volume? (select only one) |
| Under $100,000 |
$1,000,000 - $2,499,999 |
| $100,000 - $249,000 |
$2,500,000 - $4,999,999 |
| $250,000 - $499,999 |
$5,000,000 - $7,499,999 |
| $500,000 - $749,000 |
$7,500,000 - $9,999,999 |
| $750,000 - $999,999 |
$10,000,000 and over |
| 8. | Select one category below that best describes your job function. (select only one) |
| 9. | In which of the following is your firm involved? (select all that apply) |
| 10. | How would you like to receive future notices? (select all that apply) |
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| 11. | In order to verify your request for this publication, without the availability of a signature HVACR Business' audit bureau requires that they ask a personal identifying question. This information is used solely for the purpose of auditing your request. In what month were you born? |
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What is your company's annual construction volume? |
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What is the estimated replacement value of equipment owned? |
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What is the number of employees in your entire organization? |
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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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| | Security Check: Enter both words below, separated by a space. |
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