Page 57 - MetalForming October 2010

1. Are you a first time visitor to the show?
A □ Yes B □ No
2. Check if you are a member of:
A □AWS B □FMA C □SME D □PMA
E □CCAI F □NAM G □AMT
H □None of the above
3. Check your ONE primary job function:
1 □ 2 □
3 □ 4 □ 5 □ 6 □ 7 □
Job Shop Owner
Company Management/ Corporate Executive Manufacturing Production Foreman/Leader/Supervisor Welder, Welding Operator Finishing Line Operator Manufacturing Engineering
8 □ Welding Engineer
9 □ Inspector/Tester
10 □ Product Design & Development 11 □ Distributor
12 □ Purchasing
13 □ Sales/Marketing
14 □ Educator/Instructor
15 □ Other
November 2-4, 2010
Georgia World Congress Center | Atlanta, Georgia
FREE EXPO ADVANCE REGISTRATION FORM
• FREEadvanceregistrationwiththisformbeforeOctober 30, 2010. Register onsite and pay the $50 onsite registration fee.
• Onlineregistrants:receiveanimmediatee-mailconfirma- tion. Fax/Mail-in registrants: receive confirmation within 3 business days.
• Students:Donotusethisformtoregister.Pleasecall (800) 733-4763 for assistance.
• Nooneunder16yearsofageadmitted.
3 EASY WAYS TO REGISTER:
4. Check the number of employees at your facility:
0 □ Less than 20 1 □ 20–49
2 □ 50–99
3 □ 100–249
4 □ 250–499
5 □ 500–999
6 □ 1,000–2,499
7 □ 2,500 and Over
5. Indicate the products or services you plan to evaluate at the show:
A □ Arc Welding
B □ Assembly
C □ Bending & Forming D □ Brazing & Soldering E □ Business Services
F □ Coil Processing
G □ Cutting
H □ Fastening & Joining
I □ Finishing/Organic
J □ Finishing/Inorganic
K □ Gases & Gas Equipment L □ Hydroforming
M □ Inspection & Testing
N □ Job Shop/Contract Mfg. O □ Lasers
P □ Lubrication
Q □ Maintenance & Repair R □ Material Handling
S □ T □ U □ V □
W □ X □ Y □ Z □
AA □ BB □ CC □ DD □ EE □
FF □
GG □ HH □ II □
Metal Suppliers
Plate & Structural Fabricating Press Brakes
Punching
Resistance Welding
Robotics
Safety & Environmental Saws
Software, Machine Controls Stamping
Thermal Spraying
Tool & Die
Tooling
Tube & Pipe Fabricating
or Welding
Tube & Pipe Producing Welding Consumables Welding Machines
ONLINE: www.fabtechexpo.com FAX: (708) 344-4444
MAIL TO: FABTECH 2010
CompuSystems
P.O. Box 541
Brookfield, IL 60513-0541 USA
If you register online or via fax, DO NOT mail this form. Photocopy this form for additional registrants.
PRIORITY CODE: TP9
□Mr. □Ms. □Mrs. □Dr.
PLEASE PRINT - One Form per Person Name__________________________________________________________________________ Title ________________________________________________________________ BUSINESS ADDRESS REQUIRED:
Company ____________________________________________________________ Address ______________________________________________________________ Address ______________________________________________________________ City/State/Zip __________________________________________________________ PostalCode/Country ____________________________________________________ Phone_________________________________________________ Ext. ____________________________ Fax __________________________________________________________________
E-mail ________________________________________________________________________ □ Please do not use my e-mail for communications outside of FABTECH.
6. Indicate your company’s total budget for these products or services during the next 12 months:
A □ Up to $20,000
B □ $20,001–$50,000
C □ $50,001–$200,000 D □ $200,001–$500,000
E □ $500,001–$1,000,000
F □ $1,000,001–$5,000,000
G □ Over $5,000,000
7. Indicate your purchasing authority:
A □ Evaluate/Recommend C □ Approve B □ Specify D □ No Role
8. Check the primary industry your company serves:
A □ Agriculture/Landscaping Equipment B □ Aircraft/Aerospace
C □ Automotive
D □ Rail
E □ Shipbuilding/Marine F □ Other Transportation
G □ Architectural Engineering H □ Construction
I □ HVAC
J □ Appliance
K □ Consumer Products
L □ Electronics/Computers
M □ Furniture
N □ Medical/Surgical
O □ Industrial/Commercial Machinery P □ Fabricated Metal/Stampings
Q □ Chemical & Petroleum
R □ Alternative Energy
S □ Mining/Utilities
T □ Government/Military
U □ Education
V □ Non-Manufacturing
X □ Other Manufacturing
Please specify:_________________ __________________________
9. To help us better understand the demographic profile of our audience, please indicate the year you were born: 19 __ __
Please call (800) 733-4763 if you require special assistance.