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What is your company's main business activity within the upstream oil and gas industry?

Select Your Business Major Integrated Oil & Gas Company Independent Oil & Gas Company National/State Oil Company Service Contractor Main Contractor or Subcontractor Consultant Service/Supply Company Financial or Insurance Company Government or Research Body Other Please Specify for Other:

Where do you operate?

Select One Onshore Offshore Both

Which types of equipment or services do you recommend, specify, or approve? (select all that apply)

	Drilling Contractor	Well Completion/Stimulation
	Drilling Rigs & Rig Equipment	Coiled Tubing Applications
	Drilling Tools and Equipment	Health & Safety
	Tubular Goods/Services	Training
	Cementing Equipment & Services	Financial Services
	Formation Evaluation Services	Exploration/Seismic Equipment
	Well Equipment	Well Maintenance Equipment
	Surface Production Equipment	Offshore Services/Equipment
	Subsea Production Equipment	Valves
	Automation Systems	Engines/Pumps/Compressors
	Control/Safety Equipment	Environmental Services
	Drilling Fluids & Waste Management	Other
	Transportation & Construction	Please Specify for Other:

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Which best describes your Industry?

Select Industry Aerospace Agriculture Analyst/Research/PR Architecture/Engineering/Construction Automotive Consulting Consumer Products Education - Higher Ed Education - K-12 Entertainment Financial Services Financial Services - Insurance Food/Beverage Government - Local Government - State Government - Other Healthcare Hospitality Manufacturing: High Tech/Software Manufacturing: Other Military New Media/Publishing Not For Profit Oil/Gas/Chemical Other Pharmaceutical Research & Education Retail Transportation Utilities/Energy Wholesale Please Specify for Other:

Which best describes your Job Function?

Select Job Function Administration/Operations Asst VP/Vice President Business Development CFO/Controller/VP of Finance CIO / CTO / CSO Chairman/CEO/COO/President Consultant / System Integrator Contracts Administration Engineering Architect/Tech Staff Engineering Executive Engineering Management & Staff Finance Staff General Mgr / Divisional Mgr Human Resources IT - Application Management IT - Application Staff IT - Application VP/Director IT - Networking Management IT - Networking Staff IT - Networking VP/Director IT - Security Management IT - Security Staff IT - Security VP/Director IT - Web IT - Other Legal Legislative/Govt Affairs Marketing Exec / VP Marketing Marketing Management & Staff Operations / Manufacturing Pre / Post Sales Support Press and Analysts Product Management Purchasing Sales - Field Sales - Inside Sales Engineer Sales Executive / VP of Sales Sales Management Scientific/R&D Services & Support Strategy/Planning Student / Educator Other

Employee Size:

Select Employee Size Less than 100 100 - 499 500 - 999 1,000 - 4,999 5,000 - 9,999 10,000 or Greater

Which best describes your Organization's revenue?

Select Revenue Less than $10 Million $10 Million to $24 Million $25 Million to $99 Million $100 Million to $249 Million $250 Million to $499 Million $500 Million to $999 Million $1 Billion to $2.99 Billion $3 Billion to $6.99 Billion $7 Billion to $10.99 Billion $11 Billion to $19.99 Billion $20 Billion or Greater

Is this an impending project?

Yes     No

What is your purchase timeframe?

Select Timeframe 0 - 3 months 4 - 6 months 7 months - 1 year More than 1 year Never

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I wish to receive a FREE subscription to Electric Light & Power. The authoritative source of electric & gas industry business news for electric and gas utility executives and management. Bi-monthly Electric Light & Power is the magazine for management individuals in the power industry. This publication provides insight into industry news, financial, legal and regulatory issues. EL&P also reviews T&D, technology, information systems, customer systems and electric and gas trading trends. This single source provides individuals a broad view of the electric utility industry, with in-depth analysis of key business issues along with regular interviews with leading industry leaders. Note: Offer Valid in USA, Canada Only.

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What type of organization do you work for?

Select type of organization Investor-Owned Electric Utility Municipal or Other Public Electric Utility Rural Electric Membership Corporation (REMC) Investor-Owned Gas Utility/Local Distribution Company Gas Producer/Gatherer/Transporter Federal Power Agency, System or Project Power Marketer/Trader Independent Power Producer or Qualifying Facility Aggregator Energy Service Provider Energy Service Company State or Federal Regulatory Agency or Commission Architectural/Engineering Firm Constructor Firm/Construction Company Consultant, Consulting Engineering or Consulting Firm IT & Software Solution Providers Energy End User Manufacturer/Vendor Association, University or Library Other Please Specify for Other:

What is your primary job function? (select only one)

	General or Corporate Management (incl. Executive, Financial, Administrative)
	Engineering Management/Supervision
	Engineering (incl. Planning, Design, Performance, R&D)
	IT Management/Operations (Power System Automation, Controls, Communication, Hardware/Software, Metering, GIS, CIS, Billing)
	Operations Management/Supervision
	Operations (incl. Construction, Maintenance, Fleet)
	Marketing, Customer Service, DSM
	Other
	Please specify for Other:

Source(s) of energy: (select all that apply)

	Coal	Nuclear
	Oil	Other (please specify)
	Natural Gas
	Waste	Wind
	Hydro

Which of these products/services do you help acquire, recommend, specify or select? (select all that apply)

	Power Production	Gas Delivery cont.
	Boilers & Combustion-Related Equipment (incl. water treatment)	Flow Computers
	Turbines/Generators & Related Equipment	Information Technology
	Fuel Handling Equipment/Systems	Communications Systems/Equipment
	Environmental Protection & Control	Controls & Instrumentation
	Plant Maintenance Services/Materials/Supplies	Computer Hardware/Software
	Auxiliary Systems/Equipment (incl. lighting, air conditioning, motors, fans, batteries, etc.)	SCADA
	Fuels	Distribution Automation
	Nuclear Systems/Services	Demand Side Management
	Alternative Energy Systems/Equipment	Energy Management Systems
	Distributed Generation Equipment/Services	AM/FM/GIS
	Power Delivery	Metering
	Substation Apparatus/Equipment	Customer Information Systems
	Overhead Line Equipment/Hardware/Structures	Customer Billing Services
	Underground System Equipment/Hardware	Security
	Wire & Cable	Risk Management Systems
	Meters/Metering Devices	General Products & Services
	System Protection Equipment	Consultant/Constructor Services
	Construction/Maintenance Equipment & Motorized Vehicles	Safety & Security Products/System/Services
	Gas Delivery	Tools
	Pipelines	Training/Training Systems
	Cogeneration	Financial & Administrative Services
	Compressed Natural Gas	Other
	Field Equipment	Please Specify for Other:
		None of the Above

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Which of the following is closest to your job function?

	Select Your Job Function President/Owner IT Decision Maker CFO, CIO VP of Operations Controller/Accounting Manager Manager/Director - Engineering/Research/Technology Manager/Director - Marketing/Sales/Operations/Business Development Business/Sales Staff Other
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What is the number of employees in your entire organization?

Select Number of Employees 1 - 4 5 - 9 10 - 24 25 - 49 50 - 99 100 - 249 250 - 499 500 - 999 1,000 - 2,499 2,500 - 4,999 5,000 - 9,999 10,000 - 19,999 20,000 - 49,999 50,000+

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