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Company*
First Name*
Last Name*
Title
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Country*
Telephone*
Fax
E-mail*
Website*

What percent of your business is:* % Industrial % Commercial % Government % Institutional % Residential
Type of Business: (Please check all that apply) Manufacturer Distributor Manufacturer's Representative Services Retail Store
In what year was your company established?
How many employees are located at this facility?
What is your overall sales in millions?
Is this a minority-owned business? (Optional, check all that apply) African American Hispanic Native American Asian Pacific Asian Indian Woman-Owned
Does your company maintain any of the following certifications? (Please check all that apply) ISO9000 ISO9001 ISO9002 ISO9003 ISO9004 ISO14000 QS-9000
Does your company accept export orders? If yes, from which of these areas? (Please check all that apply) Asia Australia Canada Mexico South America Europe
Do you offer any of the following services? (Please check all that apply) EDI Integrated Supply JIT Mil. Specs. Other:
Please indicate the appropriate name, title, and function for the following positions:
President
Sales
Marketing
Advertising
Purchasing
Others
Classifications and Detailed Descriptions:* Please provide a description of your company's products and/or services. Note: there is a 15-word limit for each of your product and service descriptions. To make your listing as complete as possible, please provide specific tradenames and any additional services or products you offer. Remember: you are entitled to receive up to 10 FREE Listings.
I understand that by providing my information I consent to receive communications via mail, email, fax and phone from Thomas Industrial Network Inc. Thomas Industrial Network Inc. will not share my information with anyone. *
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Note: The Publisher reserves the right to edit each listing according to established editorial guidelines.