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Yes, I would like to begin / renew my FREE 2-year
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(please complete the form below)
I only need to change my name or address
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Name *
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Job Title *
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Company *
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Address *
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City *
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State*
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Zip*
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Country
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Telephone
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FAX
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this form is mandatory in order to process your request
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What state were you born in?
(This will act as your signature.)*
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1. What products are you most
interested in purchasing?
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Lighting/Lighting Controls
Safety / Training
Wire & Cable |
Power Quality
Tools & Testers |
| 2. Primary
Business of Your Company or Employer |
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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 system
applications
Engineering/Consulting
Systems Integration
Wholesale/Distributor
Other
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| 3. Primary Job Title or
Function |
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Executive Management: Owner, Partner, President, VP, General
Manager, etc.
Management: Project Manager, Superintendent, Supervisor,
Foreman, etc.
Electrician (field), Journeyman, Technician, Installer, Service
Person, etc.
Designer, Electrical Engineer,
Estimator
Purchasing Agent, Buyer
Other
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| 4. Building Components
You or Your Company Have Installed (Check all that apply)
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Security (includes CCTV, Access/Motion/Intrusion Systems)
Building, Automation Control Systems (includes HVAC, Lighting)
Fire Life Safety Systems
Fiber Optics/Comm Systems(VDV) / Premise Wiring
Power Quality Systems (Standby, Co-gen, etc.)
None of the Above
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| 5. Total Number of
Employees |
1-9
10-19
20-34 |
35-49
50+ |
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| 6. What types of work
does your company perform? |
Commercial
Residential
Industrial
Institutional |
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