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    First Name *

    Last Name *

    Country * 

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    Do you work at the headquarter location of your company? * 

    • Yes
    • No

    Which of the following best describes the products produced or the services performed at your company? (select all that apply) * 

    • Specialty Nutritional Products (dietary supplements, meal replacements, nutraceuticals, chews & nutritional candy, energy & nutritional shots, etc.)
    • Manufacturer of Ingredients/Nutritional Ingredients
    • Beverages (manufacturer, distributor, fast food corporate HQ, franchise company, vending firm, etc.)
    • Prepared Foods/Meals/Side Dishes (prepared products, baby food, RTE breakfast foods, pizza, cheese snacks, meat snacks, prepared snacks, other prepared products)
    • Prepared Specialties (ketchup, sauces, gravies, condiments, peanut butter, seasonings, flavors & syrups, oils, salad dressings, mayonnaise and pickled products, etc.)
    • Fruits & Vegetables
    • Meat, Poultry, Seafood
    • Dairy Foods
    • Bakery Products
    • Cereal & Grain-Based Products (cereals, pet foods, prepared flour, pasta, rice and corn milling and other grain-based products)
    • Snack Foods
    • Candy & Confectionery Products
    • Testing Labs, Universities, Government
    • Foodservice
    • Co-packer/Contract Manufacturer
    • Engineering, Design, Architectural and Construction Services
    • Machinery/Equipment for Food Processing and/or Packaging
    • Warehousing/Distribution/Logistics
    • Wholesaler/Broker/Importer/Exporter
    • Retail
    • Other

    Which of the following is the primary product or service performed at your company? (select only ONE) * 

    Which of the following best describes your title? * 

    • Research & Development/Product Development (President/VP of R&D, Food Tech, Chemist, Flavor Room Manager, Lab Tech, Design Manager, Tech Services Manager, Project Manager)
    • QA/QC (Quality Assurance Manager, Quality Control Manager, QA/QC Personnel)
    • Marketing/Sales (Category/Brand/Product Manager, Marketing Director/Manager, VP Sales, Sales Mgr/Director, Vending Manager, Merchandising Manager, Account Exec.)
    • Purchasing (VP Purchasing, Purchasing or Procurement Director/Manager/Supervisor, Purchasing Agent, Grocery Buyer, Retail Buyer, Buyer)
    • Corporate Management & Administration (President, Owner, Partner, Chairman of the Board, Executive VP, VP, General Manager, Secretary-Treasurer, Manager, Assistant Manager, Store/Location Manager)
    • Plant Operations/Production (VP Production, Production Mgr, Plant Mgr/Supervisor/Superintendent/Production Line Foreman, VP Operations, Processing/Packaging Supervisor, Maintenance Foreman, Plant Security Manager, Safety)
    • Engineering (VP Engineering, Plant Engineer, Maintenance Engineer, Chief Engineer, Packaging Engineer, Processing/Production Engineer, Engineering Director)
    • Warehousing/Distribution/Logistics (Warehouse/Distribution Manager/Director, Logistics/Traffic Manager/Director, Truck Fleet Mgr & Repairs/RTE Mgr)
    • Other

    Do you chill, refrigerate or freeze any of the products that you manufacture? * 

    • Yes
    • No

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