| |
| 1. | Do you wish to receive a FREE subscription to Offshore Engineer? |
Yes
No
| 2. | How would you prefer to receive Offshore Engineer? |
Print
Digital
| First Name: |
|
| Last Name: |
|
| Job Title: |
|
| |
(Ex: Director, Vice President, Project Manager, etc.) |
| Company Name: |
|
| |
(Please provide your Company Name in full: abbreviations could disqualify you) |
| Address 1: |
|
| Address 2: |
|
| City: |
|
| State: |
|
| Zip/Postal Code: |
|
| Country: |
|
| |
(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
| Phone: (numbers only) |
|
| Foreign Phone: (if not USA) |
Please include city and/or country code if outside USA |
| Fax: (numbers only) |
|
| Foreign Fax: (if not USA) |
Please include city and/or country code if outside USA |
| Email Address: |
|
| |
(Note: Valid email address is required or you could be disqualified.) |
Yes, please auto-fill my contact information for other publication qualification forms.
| | What is the approximate number of employees in your company? (select only one) |
| 3. | By providing your email address you are granting Atlantic Communications permission to contact you regarding your subscription and other product offerings. May Atlantic Communications contact you about other 3rd party offers for email? |
Yes
No
May Atlantic Communications contact you about other 3rd party offers for fax?
Yes
No
| 4. | Do you recommend or approve the purchase of equipment or services? (select all that apply) |
| 5. | What is your main job function? (select only one) |
| Executive & Senior Mgmt (CEO,CFO, COO, Chairman, President, Owner, VP, Director, Managing Dir., etc) |
| Engineering or Engineering Mgmt |
| Operations Management |
| Geology, Geophysics, Exploration |
| Operations (All other Operations personnel, Dept Heads, Supv., Coord., & Mgrs) |
| Other (please specify) |
| 6. | Which of the following best describes your company's activity? (select only one) |
| 7. | Which of the following best describes your personal area of activity? (select only one) |
| Exploration |
Support services, supply boats, transport, support ships, etc. |
| Drilling |
Equipment supply |
| Subsea production/construction (including pipelines) |
Safety, prevention and protection |
| Topsides, jackets, design, fabrication, hook-up and commissioning |
Production |
| Inspection/repair/maintenance |
Reservoir |
| Production process control, instrumentation, power generation, etc. |
Other (please specify) |
| 8. | In order to verify your request for this publication, without the availability of a signature Atlantic Communications LLC's audit bureau requires that they ask a personal identifying question. This information is used solely for the purpose of auditing your request. What day of the month were you born? |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
Yes
No
| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
Yes
No
| Related FREE Offers from TradePub.com: Check those you wish to receive. |
| |
Where do you operate? |
|
| |
Which types of equipment or services do you recommend, specify, or approve? (select all that apply) |
|
| | What format would you prefer to receive your copy of Offshore? |
Digital
Print
You may receive renewal reminders and other correspondence from Offshore magazine via email. If you do not want to receive correspondence from other PennWell publications and conferences, please check here.
You may receive subscription renewal notices via email. If you do not want to receive other business related third-party offers, please check here.
| | Please check the one category below which best describes your firm's primary business activity: (select only one) |
Please specify for Other.
| | Please check the category below that best describes your job function: (select only one) |
| Executive Management (CEO, President, Owner, VP, Managing Director, etc.) |
| Management (Production Manager, Engineering Manager, Exploration Manager) |
| Engineering |
| Field Professional (Superintendent, Foremen, Assistant Foremen, Toolpusher) |
| Purchasing (Purchasing Agent, Purchasing Manager) |
| Consulting |
| Geology or Geophysics |
| Other (please specify) |
| | Do you recommend or approve the purchase of equipment or services? (select all that apply) |
| | Please check below all types of equipment or services which you recommend, specify or approve: (select all that apply) |
| | Would you be interested in participating in FREE educational web casts? |
Yes
No
| | In lieu of a signature, PennWell Corporation requires a personal identifier. What month were you born in? |
| |
What is the number of employees in your entire organization? |
|
| |
When do you plan to purchase availability solutions? |
|
| |
What type of availability solutions do you need? ( select all that apply) |
|
| |
Which of the following is closest to your job function? |
|
| |
What is the number of employees in your entire organization? |
|
 |
| | Security Check: Enter both words below, separated by a space. |
|
|
