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| 1. | Do you wish to receive a FREE subscription to Prepared Foods? |
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| 2. | If you want delivery to your home or Business P.O. Box, please complete the area below. Please mail my copy to: |
Yes, please auto-fill my contact information for other publication qualification forms.
| 3. | Check the category that best describes the primary product produced at your company: (select only one) |
| Prepared Foods & Specialties/Ingredients: Including prepared dinners/meals/entrees (incl. ethnic foods); prepared side dishes; baby foods; pizza; ready-to-eat breakfast foods; pet foods; ready-to-mix desserts (incl. gelatin); peanut butter and pasta. |
| Prepared Fruits & Vegetables/Ingredients: Including prepared fruits & vegetables, jams, jellies, preserves, soup & soup mixes; ketchup, sauces, gravies, condiments, seasonings, flavors & syrups; oils, salad dressing & mayonnaise, and pickled products. |
| Prepared Meat, Poultry & Seafood/Ingredients: Including prepared meat, sausage, poultry, eggs, and seafood products. |
| Dairy Foods/Frozen Novelties/Ingredients: Including cheese (imitation and natural); whipped toppings; margarine & butter, ice cream & frozen novelties; yogurt, cottage cheese, dips, sour cream, milk & milk substitutes. |
| Bakery Foods/Ingredients: Including sweet goods, pastries, pies, snack cakes, cookies; crackers, biscuits, breads & rolls; English muffins, bagels, croissants, breadsticks, etc. |
| Beverages/Ingredients: Including coffee & tea; non-carbonated beverages & beverage mixes; fruit & vegetable juices, carbonated beverages; wine, beer, liquor. |
| Snack Foods/Candy/Ingredients: Including potato chips, corn & other chips, pretzels, nuts, popcorn, granola bars, meat snacks, candy, gum, chocolate. |
| Manufacturer of Nutritional Supplements, Nutraceuticals and/or Ingredients |
| R&D Center or Headquarters of a Food and/or Beverage Manufacturer |
| Food Service |
| Universities |
| Independent R&D Labs, Government |
| Other (please specify) |
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| 4. | In the performance of your job, in which of the following functions are you involved: (select all that apply) |
| 5. | What is the total number of employees at this location? (select only one) |
| 6. | Check the products you buy, specify, recommend, or influence the purchase of for your company: (select all that apply) |
| 7. | Which of the following best describes your title? (select only one) |
| Research & Development: President/VP of R&D, Food Tech, Scientist |
| QA/QC: Quality Assurance Manager, Quality Control Manager |
| General Management & Administration: Owner, President, Partner, General Manager |
| Marketing: Category/Brand/Product Manager, Marketing Director |
| Purchasing: Purchasing Director/Supervisor, Purchasing Agent, Buyer |
| Sales: VP of Sales, Sales Director, Sales Manager |
| Other (please specify) |
| 8. | Does your company manufacture/develop food and/or beverages for: (select all that apply) |
| 9. | Would you like to receive a free copy of the Food Master annual catalog? |
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| 10. | Please check you preferred format: |
Digital Version of Prepared Foods
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| 11. | In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth? |
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| | Which of the following best describes your industry? (select only one) |
Please specify for Other.
| | Which of the following is closest to your job function? (select only one) |
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| | What is the number of employees in your entire organization? (select only one) |
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Which Category Best Describes the Business or Industry in which you work? |
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Number of employees in your entire company at all locations: |
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