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Contact information:
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| * By providing your fax number, you are giving BNP Media permission to send you subscription faxes.
The publisher only accepts applications meeting the qualification criteria for the magazine.
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Are you involved with influencing, recommending, approving, authorizing, specifying, or purchasing materials or equipment used in the manufacture/formulation of adhesives/sealants or adhesive/sealant products?
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| What is your Primary Job Function? (check only one)
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| What is your company's primary business activity? (check only one)
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| Manufacturer/Formulator
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| Adhesives/Sealants |
| Pressure Sensitives |
| Adhesives/Sealants Products (tapes, labels) |
| User of Adhesives/Sealants &/or Adhesive/Sealant Products: (Indicate Primary End Product Manufactured at this Location:)
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| Electrical or Electronics |
| Transportation (Auto, Aerospace, Other) |
| Product Assembly |
| Plastics, Rubber, Elastomers |
| Metals |
| Food and Medical/Pharmaceutical Products |
| Packaging/Paper Products/Converting |
| Lumber, Wood, Furniture, Fixture Products |
| Textiles/Nonwovens/Apparel/Diapers |
| Tapes & Labels |
| Construction |
| Other Uses of Adhesives/Sealants for Manufacturing Process (specify) |
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| Supplier to Manufacturer
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| Chemicals/Raw Materials |
| Equipment |
| Packaging/Containers |
| Distributor |
| Testing Lab, Research Organization, Consultant, Industrial Designer, or Technical Libraries |
| Other (specify) |
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| Which of the following products do you recommend, specify, authorize or otherwise influence the purchase of? (check all that apply)
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| Would you like to receive the FREE Adhesives & Sealants Industry eNewsletter?
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(Your e-mail address must be provided in the above field noted "E-mail Address")
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