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BUSINESS ADDRESS (Required)

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Title  *
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A. My company is best described as: (check only one)

Advertising Agency/Marketing Services
Commercial Printer (primarily offset)
Digital Printing Specialist (all digital printing, no offset)
Government/Education/Training
Graphic Design Studio/Corporate Creative
Manufacturer
In-plant Printing Department
Photographer/Photo Studio/Photo Lab
Publisher
Screen Printer/Specialty Printer/Quick Printer/Sign Shop/Reprographic House
Service Bureau/Image Service
System Integrator/Software Developer/Consultant
VAR/VAD/Reseller/Distributor Supplier/Wholesaler/Dealer
Digital Textile Printer
Other Print or Graphic Service Provider, including companies Not Elsewhere Classified
(please specify)

B. My primary job function is:



(if you selected "Other" please specify):

C. Do you intend to purchase a wide format printer in the next 6 months?

Yes No

If the answer to C is "yes", please check all that apply:

Printer Type
  
Roll-to-Roll
Flatbed
Hybrid
  
Speed
  
Low-Production Output Device
Mid-Production Output Device
High-Production Output Device
  
Ink
  
Solvent
Latex
UV
Dye/Pigment Aqueous
Other

E. The number of people employed at this location is:


F. Annual Sales Volume at this location:


G. How many digital wide format printers does your company have?


H. I received the following publications personally addressed to me by mail:
   (Check all that apply)

The Big Picture
Fabric Graphics
Package Design
Sign & Digital Graphics
Wide-Format Imaging

Personal Identifier

Audit Verification (Required)
In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below your day of birth.

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