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Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | What best describes your firm? (select only one) |
| 3. | What is your principal activity? (select only one) |
| 4. | Please check ONE of the following that best describes your title: (select only one) |
| 5. | I have the authority to specify, approve or buy the following: (select all that apply) |
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Flow, Pressure and Level Measuring Equipment and Accessories |
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Sampling and Analyzing Equipment and Instrumentation |
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Engineering, Construction, Operational and Maintenance Services and Equipment |
| Corrosion Control Systems and Materials |
Laboratory Equipment, Supplies and Services |
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Stormwater Related Products |
| Security and Safety Equipment |
None of the Above |
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I wish to receive a FREE subscription to Marine Log -
published since 1878, it covers the commercial marine industry worldwide- America's most respected marine industry monthly, and is dedicated to providing marine industry professionals with the information they need to enable them to design, build and operate vessels, rigs and offshore structures, profitably, safely, legally and in an environmentally responsible manner.
Marine Log serves the fields of vessel operations, ownership and management; shipyards and ship repair yards; naval architectural firms, marine engineering firms, marine consultants; port authorities and terminals; Navy, Coast Guard and other governmental agencies operating vessels; marine finance, marine insurance and maritime law. Qualified industry personnel are eligible to receive free subscriptions. These include executive and technical personnel, operational and financial personnel, purchasing and sales/marketing personnel.
Marine Log is a publication of Simmons-Boardman Publishing, New York.
Note: Offer Valid in USA, Canada, Mexico (Print and Digital available), International (Digital version only).
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Which business/industry best describes your company? (select only one) |
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Vessel Operations, Ownership & Management of: Ships, Boats, Barges, Cruise Vessels, Cargo Ships, Crew Boats, Ferries, Tugs, Research & Survey Vessels, Supply Boats, Dredges or Pushboats in oceans, harbors and inland rivers; including Offshore Drilling Companies |
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Shipyards & Ship Repair Yards: Shipbuilding Companies, including ship repair yards, repair subcontractors and newbuilding organizations |
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Naval Architecture Firms: Marine Engineering Firms, Other Technical Consultancy Firms including Surveyors and Classification Societies |
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Port Authority or Terminals |
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Navy, Coast Guard or other Gov't. Agencies operating vessels |
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Marine Finance, Marine Insurance and Marine Law Including P&I Clubs and Admiralty Law Firms |
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Allied Industries; Manufacturers, Suppliers and Distributors to the Marine Industry |
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Third Parties: NVOCC, Charterers, Brokers & Freight Forwarders |
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Industry Association |
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Manufacturer of major vessel infrastructure components |
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Others allied to the field. |
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Please specify for Other: |
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Which category best describes your job title? (select only one) |
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Executive Personnel including Owners, Partners, Presidents, CEO's, COO's, Vice Presidents, Directors, General Managers and other Executive personnel |
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Technical Personnel including Engineers, Surveyors, Inspectors, Analysts, Scientists, Chemists, Consultants, Naval Architects, and other Technical Personnel |
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Operational & Security Personnel include Marine Superintendents, Port Captains, Superintendent and Port Engineers, Shipyard Production Managers, Supervisors and other Operational & Security Personnel |
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Financial Personnel including Controllers, CFO's, Accountants, Estimators & other financial personnel |
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Purchasing Personnel including Buyers, Purchasers, Acquisition Managers, Materials Managers and other purchasing, acquisition and materials personnel |
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Sales and Marketing Personnel including Marketing & Public Relations Managers and other sales & marketing personnel |
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Other |
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Please specify for Other: |
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What type(s) of vessels is your company involved with? (select all that apply) |
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What is your role in the purchasing process? (select all that apply) |
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Which Marine Markets are you involved with? (select all that apply) |
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As proof to Simmons-Boardman Publishing's auditors that you have requested to receive their magazine, please indicate in which State/Province you were born. |
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Which of the following is closest to your job function? |
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What is the number of employees in your entire organization? |
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Which Category Best Describes the Business or Industry in which you work? |
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Number of employees in your entire company at all locations: |
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What is your purchasing influence for safety related products and services? |
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| | Security Check: Enter both words below, separated by a space. |
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