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Powder R&D Newsletter is sponsored by: Troy Powdermate Please fill out the following information (  denotes a required field.) 1a. I wish to receive/continue to receive an email notice when new FREE issues of the Powder R&D Newsletter is available. (Quarterly only on www.paintandpowder.com) Yes, I wish to receive/continue to receive an email notice when new FREE issues of the Powder R&D Newsletter is available. (Quarterly only on www.paintandpowder.com ).     No, I want to access the current newsletter but do not email me a notice when future issues are available 1b. I wish to receive/continue to receive a FREE subscription to INDUSTRIAL PAINT & POWDER magazine. Yes            No BUSINESS ADDRESS (Required)   First Name Last Name Title Company Street Address Department/Mail Stop City   State/Province Select State/Province        Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ---------------------------------------- U.S. Military - America (AA) U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP) ---------------------------------------- ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NORTHWEST TERRITORIES NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY   Zip/Postal Code USA/U.S. Military: Enter Zip +4 code without the hyphen (e.g. 123456789) CANADA: Enter postal code per usual (e.g. A1B 2C3)   E-mail Address  Occasionally we send our subscribers e-mail special offers from relevant businesses/organizations. If you do NOT want to receive such offers, please check here.   Business Phone - - Business Fax  - -   OPTIONAL DELIVERY ADDRESS (Home or P.O. Box) Street Address Department/Mail Stop City   State/Province Select State/Province        Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ---------------------------------------- U.S. Military - America (AA) U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP) ---------------------------------------- ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NORTHWEST TERRITORIES NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY   Zip/Postal Code USA/U.S. Military: Enter Zip +4 code without the hyphen (e.g. 123456789) CANADA: Enter postal code per usual (e.g. A1B 2C3) 2. Which of the following best describes your firm's business?(Required)      (Check ONE only) 01 Maker of Paint and/or Powder Coatings 02 User of Paint and/or Powder Coatings 98 Other (please describe)  3. Which category best describes your primary job function? (Required)       (Check ONE only) 01. Production 02. Engineering 03. Research and Development 04. Company Administration 05. Quality Control 06. Sales/Marketing 07. Purchasing 98. Other (please describe)  4. For which products do you have buying influence?(Required)      (Check ALL that apply) 20 Paint/Coatings 21 High-Solids 22 Waterborne 23 Powder 24 Two-Component 25 Radiation-Cure 26 Conventional 27 Turnkey Finishing Systems 28 Liquid Spray Equipment 29 Spray Booths 30 Powder Coating Equipment 31 Curing/Baking Equipment 32 Color, Thickness, Other Test Measurement 33 Material Handling Equipment 34 Pumps, Filters, Etc. 35 Pollution Control/Minimization Equipment/Services 36 Pretreatment Chemicals/Equipment 37 Paint Manufacturing Equipment/Systems 38 Raw Materials, Resins, Pigments, Additives, Solvents 39 Coil Coating Equipment 40 Tapes and Maskants 41 Safety Equipment 42 Radiation Curing           99 None of the above Personal Identifier Audit Verification (Required) In lieu of a signature, we require a personal identifier. To verify that you submitted this application please enter below the name of the last high school you attended. Name of the last high school you attended: *The publisher reserves the right to serve only those individuals who meet the publication qualifications.