Section 1 of 2 : Subscriber Information

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Do you wish to subscribe to Powder and Bulk Engineering?   YesNo  

Since you can not sign this form, our auditors require a personal question that can be verified later. How many siblings (brothers and sisters) do you have?  - Please select one - 0 1 2 3 4 5 6 7 8 9 10 or more  

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Section 2: Company Information
This section must be completed in order to subscribe
or to request reader service information.

1. What is the major product(s) made in your plant (please be specific)?
    
2. If your company does not manufacture at this location, please specify company’s major product or service performed:
   
3. Principal job function:    
   Process/Production Eng
   Design/Construction Eng
   R&D
   QC/QA
   Plant Mgmt
   Operations Mgmt
   Corporate Mgmt
   Consulting Mgmt
   Other
4. Number of employees at this location:  
   1,000+
   500-999
   100-499
   50-99
   20-49
   Under 20

Is the subscription address above also the billing address? YesNo  

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