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| 3. | Optional: Delivery address (Home or P.O. Box). Enter address below ONLY if your company WILL NOT accept delivery to the company address already listed. |
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| | What is the approximate number of employees in your company? (select only one) |
| 4. | Do you influence the decision to purchase industrial heating equipment, components, or supplies? |
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| 5. | What is your firm's Primary Business? (select only one) |
| My firm is a manufacturer with: |
| Captive (in-house) heat treating/thermal processing |
| Captive (in-house) brazing, forging, sintering, other thermal processing |
| My firm is a captive (in-house) producer of the following materials: |
| Alloys, composites, other thermal materials |
| Primary ferrous/non-ferrous metals (melting, refining, reclaiming, casting) |
| My firm is: |
| A contract/commercial provider of heat treating/thermal processing, brazing, forging, sintering, other thermal processing |
| Military/government, R&D, testing lab, or educational institution with on-site thermal process |
| Contracting/consulting engineer firm for the thermal processing industry |
| My firm manufactures: |
| Furnaces, ovens, induction, and/or other thermal processing equipment |
| Refractories, ceramic, insulation, glass |
| Thermal processing equipment components, controls, instrumentation, sub-systems |
| Thermal process industrial gases and other consumables |
| Other thermal processing equipment, components, or supplies (please specify) |
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| 6. | What is your primary job function? (select only one) |
| 7. | In performance of my work, I recommend, specify, select, or purchase products in the following areas: (select all that apply) |
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| | Please check the products that you are involved in recommending, specifying, or purchasing in any way for your company. (select all that apply) |
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