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Print Version of Restoration & Remediation (FREE)     Digital Version of Restoration & Remediation (FREE)*

*All digital subscribers will receive the print version until digital is available.

In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth?

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Your fax number is used to communicate to you. By providing your fax number, you are giving your written permission to receive subscription and other related information from BNP Media that may be of interest to you by fax. BNP Media will not share this information or use it for any other purpose. Would you like to receive subscription faxes sent by Restoration & Remediation/BNP Media?

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Your primary business activity:

Select primary business activity Water Damage Restoration Smoke/Fire Damage Restoration Mold Remediation Indoor Environmental Professional Insurance Claims/Risk Management Property/Facility Management Laboratory Services Distributor Manufacturer's Rep/Sales Agent Other

Please specify for Other.

Your primary job function:

Select job function Owner/President General Management Restoration/Remediation Technician Project Manager Asset/Loss Management Sales Other

Please specify for Other.

Your purchasing authority:

Select purchasing authority Approve/Purchase Specify Recommend None of the above

Your annual sales volume:

Select annual sales volume More than $10,000,000 $5,000,001 - $10,000,000 $1,000,001 - $5,000,000 $500,001 - $1,000,000 $250,001 - $500,000 Up to $250,000

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)

Streets, Highways, Roads, Airport Pavements	Earthmoving, Excavating
Bridges, Viaducts, Tunnels	Lighting, Signing or Safety
Roadside Maintenance	None of the Above

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.

In order to verify your on-line subscription request, Scranton Gillette Communications is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is the first inital of your father's name?

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