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| 2. | Indicate your preferred delivery address: |
Business Address (above)
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Delivery Address (if different from business address above)
| | 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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Please indicate the type of product your company manufactures/processes/distributes at this location: |
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Please indicate your job title: (select only one) |
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General Management/Administration (President, Owner, Partner, Vice President, General Manager, Assistant Manager) |
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Plant Operation/Production (Plant Manager, Production Manager, Traffic Manager, Packaging Manager, Maintenance Manager, Distribution Manager) |
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Research and Development (Technologist, Chemist, Scientist, Research Technologist, Group Project & Research Scientist, QC/QA Manager) |
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Engineering (Engineers: Chief, Project, Design, System) |
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Sales/Marketing (Director, Manager, Brand, Assistant, Advertising) |
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Purchasing (Purchasing Director, Supervisor, Agent, Buyer) |
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Other (Other Titled Personnel) |
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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 of the following best describes your industry? |
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What is the approximate number of employees in your company? |
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