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Company Information:

First Name: *		State: *
Last Name: *		Zip Code: *
Job Title: *		Phone: *
Company Name: *		Fax:
Address: *		Email Address: *
City: *

1. Please check the primary end product manufactured or service provided at your location. (Please select one that best applies.) *

	Kitchen/Bath Cabinet MFG		Commercial Cabinet MFG
	Residential Furniture/RTA		Architectural Casework
	Office Furniture		Countertops/Work Surfaces
	Store Fixtures		Laminated Components
	Commercial Interiors		Furniture/Cabinet Designer
	Point of Purchase Displays		Architecture
	Interior Design		Other

2. Please choose the category the best describes your job Title. (Please select one.) *

	*CORPORATE & OPERATING MGMT* (Chairman of the Board, Director, President, CEO, Owner, VP, Secretary, Treasurer, GM and related personnel)
	PRODUCTION MANAGEMENT (VP Manufacturing, Plant Manager, Production Manager, Superintendent, Foreman, Supervisor, and related personnel)
	DESIGN (Designer & related personnel)
	PURCHASING/SPECIFYING (VP Purchasing, Director of Purchasing, Purchasing Agent, Buyer, Material Manager and related personnel)
	MARKETING & SALES (VP of Marketing and /or Sales, Marketing and/or Sales Manager and related Personnel)
	Other (must specify):

3. What is the total number of employees at this business location? *

	1-9		20-49
	10-19		50 or more

4. Preferred Format (Select One) *

Print and Digital

Digital Only

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