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Title

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Last Name*

Job Title*

Company*

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Address Line 2

Address Line 3

City / Town*

County / State / Region

Country*

Postcode / Zip Code*

Telephone*

Mobile / Cell

Email Address*

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How did you hear about the show? (Tick all that apply)*

Urethanes Technology magazine ads

Urethanes Technology website ads

Other publication print ads

Other publication web ads

Industry assocation

Direct mail brochures

Internet search

Social media

Colleagues

Other

If you selected Other, please state how you heard about the show:

What is your main purpose for visiting the show? (Tick all that apply)*

Find new suppliers / equipment

Keep up to date with the industry

Networking

To visit existing suppliers

To attend the conference

Other

If you selected Other, please state your main purpose for visiting the show:

Which of the following best describes your job function?*

General or Corporate Management

Production / Operations Management

Engineering / Technical / Project Management

Purchasing Management

Research / Development Management

Testing Laboratory Staff

Sales / Business Development Management

Shop Floor Production Staff

Safety / Environment / Quality Management

Product Development / Design Management

Marketing Management

Consultant / Academic / Media / Libraries

Other

If you selected Other, please state your job function:

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What is your role in the buying process?*

Authorise purchase

Make purchase

Specify suppliers

Recommend supplier

Research

Other

If you selected Other, please state your role in the buying process:

Areas where you have purchasing responsibility? (Tick all that apply)*

Processing equipment

Materials and additives

Factory planning and construction

Product design services

End product user

Other

If you selected Other, please state the areas where you have purchasing responsibility:

Which of the following best describes your organisation's main activities? (Tick one)*

Raw materials manufacture and supply (polyols and/or isocyanates)

Polyurethane systems manufacture and supply

Manufacture and supply (catalysts/surfactants/flame retardants/other ancillary materials)

Laboratory and testing equipment

Analytical and testing services

Distributor / Sales - Raw materials

Distributor / Sales – Machinery

Research and development

Processing machinery manufacturer

Prod machinery for flex foam

Prod machinery for rigid foam

Spray foam equipment

Non-foam machinery

Mold and mold carriers

Robotics / Materials handling equipment/ Control systems

Cutting equipment

Auxiliary equipment

Market research

Laboratory Institute / University

Association

Conferences / Publishing

Other

If you selected Other, please state your organisation's main activities:

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Which industries does your company serve? (Tick all that apply)*

Aerospace

Automotive

Paints and coatings

Building and construction

Electronics

Commercial refrigeration / Cold chain

Domestic refrigeration

Marine and offshore

Footwear and clothing

Furniture / Bedding / Mattresses

Raw materials manufacturer and supplier

Mining equipment

General industrial equipment

Other

If you selected Other, please state which industries your company serves:

Which area(s) are you interested in the most? (Tick all that apply)*

Coatings

Adhesives

Sealants

Elastomers

Flex Foam

Rigid Foam

Spray Foam

RIM

Colorants

Polyurea

Polyols, Surfactants, Catalysts, Blowing Agents

Recycling

Other

If you selected Other, please state which area(s) you are interested in the most:

How many people does your organisation employ?*

1 to 50

51 to 99

100 to 249

250 to 499

500+

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