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| 2. | In lieu of a signature, we require a unique identifier used only for subscription verification purposes. On what day of the month were you born? |
| 3. | Please check the primary business/function of your company/organization: (select only one) |
| 1.A. FOR CONTRACTORS ONLY |
| Highway & Heavy Construction -- Contractors primarily engaged in construction of highways, streets and roads, bridges/overpasses and airports, underground construction, excavating, marine construction, demolition, water/sewer/related utilities, drilling and/or the construction of projects other than building erection |
| General Building Construction -- Contractors primarily engaged in construction of heavy buildings and tract development (not home builders) |
| Engaged in Both -- Contractors substantially engaged in both categories described above |
| Other Contractors -- Electrical, mechanical, and other contractors (please specify) |
| 1.B. FOR NON-CONTRACTORS ONLY |
| Construction material producer (sand, gravel, stone, lime, cement, ready mix, asphalt) |
| Utility |
| Mining |
| Equipment rental |
| Dealer/Distributor of components, parts, supplies, and accessories |
| Manufacturer of Construction Equipment or Supplies |
| Other (please specify) |
| 4. | What is your primary job title? (select only one) |
| Upper Management: CEO's, Chairmen of the Board, Owners, Partners, Presidents, Vice Presidents, CFO's, Treasurers |
| Middle Management: Administrators, Managers, Supervisors, Superintendents, Master Mechanics, Engineers, Purchasing Agents, Other Executive Officials |
| Equipment Staff: Equipment Superintendents, Shop & Mechanical Supervisors, Fleet Superintendents, Estimators, and Heavy Equipment Operators |
| Other: Other titled and nontitled personnel and company addressed copies (please specify) |
| 5. | What is your firm's annual CONTRACT or SALES VOLUME? (select only one) |
| 6. | What is your firm's replacement value of CONSTRUCTION EQUIPMENT & TRUCKS owned and/or leased for your company's use? (select only one) |
| 7. | In the performance of my job, I have the authority to specify, select, and/or approve acquisition of the following: (select all that apply) |
| Excavating, grading, and/or other types of earthmoving equipment |
Construction materials (cement, steel, pipe, ground support fabrics) |
| Materials producing and/or paving equipment |
Parts, components, and/or automotive accessories (engines, transmissions, tires, filters, hoses) |
| Lifting and hoisting equipment (cranes, lift trucks, hoists, derricks, concrete pumps) |
Forming, scaffolding and/or false work |
| Trucking and hauling equipment (on- and off-road trucks, haulers, pickups, mixers, truck bodies, trailers) |
Financing, Insurance and/or bonding |
| Maintenance equipment, tools and/or supplies |
Computer hardware/software |
| General utility equipment (compressors, pumps, generators, lighting, mixers) |
Attachments |
| Safety equipment and/or apparel |
None of the above |
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| | What is your job function? (select only one) |
| | What Industry are you looking to open your Franchise in? (please specify) |
| | Capital To Invest: (select only one) |
| | Net worth: (select only one) |
| $100,000 to $200,000 |
$800,000 to $1,000,000 |
| $200,000 to $500,000 |
Over $1,000,000 |
| $500,000 to $800,000 |
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