ELECTRICAL SOURCE SUBSCRIPTION

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1. I permit use of my email for subscription renewals and for announcements relating to training courses, products and or services.

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2. I Wish To Receive Electrical Source Absolutely Free.

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3. Subscription

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4. My Firm's Primary Business Activity: (Please select one only)

5. My Primary Job Function

Select one only Senior/Corp. Management Plant/Facilities Management Supervisory/General Management Electrical Engineering: Operations Electrical Engineering: Construction Electrical Engineering: Systems Planning or Design Other Electrical Engineering Electrical Maintenance Energy Management Purchasing Other
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6. Number of Employees At This Location?

1 to 4 5 to 9 10 to 19 20 to 49 50 to 99 100 to 249 250 to 499 over 500

7. With Regard To Electrical Equipment, I:

Buy	Yes No
Specify	Yes No
Install	Yes No
Maintain	Yes No

8. What product information are you seeking from our magazine ?

9. Have you specified or purchased electrical equipment in the past 12 months ?

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11. How would you prefer our magazine be delivered ?

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