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| 4. | In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is your date of birth? |
| 5. | What is your firm's primary business activity? (select only one) |
| 6. | What is your primary job function? (select only one) |
| 7. | Do you recommend, specify, and/or approve stone and/or tile materials? (select all that apply) |
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| | In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is the month of your birth? |
| | What is your primary business at this location? (select only one) |
Landscape Contractor (Full Service)
Chemical Lawn Care Company
Lawn Maintenance Company
Ornamental Shrub & Tree Service
Irrigation Contractor
Landscape Architect
In-house maintenance including educational facilities, health care facilities, government grounds, parks & military installations, condominium complexes, housing developments, private estates, commercial & industrial parks
Nurseries
Other
Please specify for Other.
| | Which of the following best describes your title? (select only one) |
Executive/Administrator - President, Owner, Partner, Director, General Manager, Chairman of the Board, Purchasing Agent
Manager/Superintendent - Arborist, Architect, Landscape/Grounds Manager, Superintendent, Foreman, Supervisor
Specialist - Forester, Consultant, Agronomist, Pilot, Instructor, Researcher, Horticulturist, Certified Specialist
Other
Please specify for Other.
| | What services does your business offer? (select all that apply) |
| | How many full-time (year-round) employees do you employ? |
| | What year was your business founded? (please specify) |
| | My firm's annual revenue is: |
| | Please indicate your approximate business mix: (please specify for each) |
Commercial %
Residential %
Other Mix %
Other Mix (please specify)
| | Business Classification: (select only one) |
GOVERNMENT EMPLOYEES: Please check the level of government in which you are employed.
City and Municipality
Township, Town and Special District (with road jurisdiction)
County (with road jurisdiction)
State (Highway and Toll Road)
Federal
PRIVATE INDUSTRY EMPLOYEES: Please check below a category which best describes your firm.
Contractor
Engineering Consulting
Producer
Other
Please specify for Other.
| | If your firm is a contractor or consulting engineer firm, please check all activities in which your firm is involved: (select all that apply) |
| | Job Title: (select only one) |
Government Administrators - Mayor, City/Town/Village Manager, Administrator, Commissioner, Council Member, Director, Superintendent/Supervisor Public Works, Health, Service, Safety Officials, City/County/District Engineer, Clerk, Airport Manager, Engineer, other Government Administrator.
Corporate Management - President, CEO, Chairman, Owner, Partner, Exec/Senior VP, VP, Secretary, Treasurer, Financial Officer, Financial, Purchasing Manager, Office, Branch Manager, other Corporate Manager.
Operations - General Manager, Director, VP, Manager (Area, Factory, Plant, Product, Division), Supt. of Streets, Highway/Road Supt., Project Engineer, Maint. Supt., Supervisor, Foreman, Operator, Chief Operator, Equipment Operator, other Operator.
Engineering - Vice President, Director, Managing, Chief, Senior, Resident, Staff, Sanitary, Design, Mechanical, Architect, Estimator, Electrical, Chemical, Maintenance, Civil, Structural, Field, Construction, Environmental, EPA, Safety, Traffic, Highway, Road, Consulting, other Engineer.
Technical - Research, Scientist, Biologist, Chemist, Analyst, Environmental and Pollution Control Spec., Tech. Mgr., Supt. Supv., Foreman, other Technician.
Marketing & Sales - Manager of Marketing/Sales, other Sales/Marketing Person.
Other
Please specify for Other.
| | Buying Authority: In the performance of my job I have the authority to specify, select or approve the acquisition of the following: (select all that apply) |
| Earthmoving, excavating, grading and related equip. |
Bridge deck and rail crossing pads. |
| All paving, planning and recycling equipment systems including breakers and compactors. |
Bridges & viaduct structural components & materials. |
| Lifting and hoisting equip. for shop and/or field. |
Computers - Hardware (including workstations, printers, plotters, peripherals) and Software (including CAD, GIS and scheduling). |
| Road maintenance equipment, mowers, plows, sweepers, spreaders and accessories. |
Equipment Leasing/Rental. |
| Trucks, trailers and hauling equipment. |
Financing/Insurance. |
| Road construction materials, including additives, emulsions, sealants, surface treatments, geotextiles. |
Design/Consulting/Engineering Services. |
| Herbicides, applicators and chemicals. |
ITS Technology/Equipment/Services. |
| Lighting, poles, posts, striping, signs and supports, and other road and traffic safety equipment. |
Stormwater/Erosion Control Products |
| Compressors, welding equip., generators, pumps & other general utility equip. for shop and/or field. |
None of the Above |
| Engines, components, parts, equip. maintenance, tools, replacement elements and lubricants. |
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