NB: Required fields are marked with a

Mr/Mrs/Miss
Full Name
Job Title
Company
Address
Postcode
Country
Phone
Fax
Email

What is your company's main activity?
Please Select Aerospace Automotive / Auto Components Banking, Insurance & Commerce Bricks, Pottery, Glass & Cement Chemical & Allied Trades (inc Plastic & Rubber) Construction Consulting, Professional & Scientific Services Defence Education Electrical / Electronic Manufacturing Food, Drink & Tobacco Gas, Water, Electricity & Nuclear Health Service / Medical Instrument Engineering / Manufacture Mechanical Engineering Metal Production Mining and Quarrying Oil Production & Exploration (Other) Manufacturing Industries Pharmaceutical Industry Printing, Paper & Packaging Public Admin / Local Authority Shipbuilding & Marine Engineering Textiles, Clothing & Footwear Transport & Communications Warehousing & Distribution Other

If 'Other', please specify:

How many employees are at your site?
Please Select 0 - 49 50 - 99 100 - 249 250 - 499 500 - 999 1000+

What is the total number of employees at your company?
Please Select 0 - 49 50 - 99 100 - 249 250 - 499 500 - 999 1000+

What is your purchasing power?
Please Select Less than £10,000 £10,000 - £49,999 £50,000 - £99,999 £100,000 - £499,999 £500,000 - £999,999 £1m - £1.5m Over £1.5m None at all

Personal Interests (tick as many as appropriate)