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| 1. | Do you wish to receive a FREE subscription to FoodService Director? |
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| 2. | Indicate your preferred delivery address: |
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| | What is the approximate number of employees in your company? (select only one) |
Yes, please auto-fill my contact information for other publication qualification forms.
| 3. | Are you a decision maker who works for a non-commercial foodservice operation in the United States? |
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| 4. | At which of the following locations do you work? (select only one) |
| 5. | Which of the following market segments best describes your foodservice operation? (select only one) |
| 6. | What are your gross annual food/beverage purchases for non-commercial establishments including alcoholic beverages? (select only one) |
| $5 Million and over |
$200,000 to $299,999 |
| $1 Million to $4,999,999 |
$100,000 to $199,999 |
| $500,000 to $999,999 |
Under $100,000 |
| $300,000 to $499,999 |
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| 7. | Which of the following best describes your title? (select only one) |
| Food Service Management (Manager or Director of Food Service, Food/Beverage, Dining Service, Dietician, Chef) |
| Operations Management (Administrator, General Manager, Business Manager) |
| Purchasing Operations (Purchasing Director, Purchasing Agent, Procurement Officer, Buyer) |
| Company Officer (President, Partner, Owner, Executive VP, VP, Senior VP, Secretary, Treasurer, Controller) |
| Corporate Liaison |
| Other (please specify) |
| 8. | How many foodservice establishments are you responsible for? (note: whole number please; ranges cannot be accepted) |
| 9. | Which of the following services do you offer? (select all that apply) |
| 10. | As an added value, you will automatically receive FREE FoodService Director email Newsletters. If you DO NOT WISH TO RECEIVE this, please indicate by checking the box below. |
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| 11. | In lieu of a signature, the publisher requires a unique identifier used only for subscription verification purposes. What is the month of your birth? |
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During the next 12 months, will you specify, recommend, buy, or approve the purchase of digital media and/or video technology products worth: |
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