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| Your title (Dr, Mr,
Mrs etc): |
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| Your first name: |
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| Your family name: |
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| Position
(director/manager/technician etc): |
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| Division |
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| Company: |
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| Postal Address: |
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| Town/City: |
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| State/county/region/district: |
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| Post/Zip code: |
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| Country: |
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| Telephone: |
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| Fax: |
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| E-mail address |
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| Re-enter E-mail
address for validation! |
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| What is the month of your birth? (Numerically,
1-12). |
(A question for audit purposes) |
| Type of Business |
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| I
wish to receive copies of
Global Cement
Magazine,
because: |
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| I am an employee of a cement or
lime company |
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| If Yes, are you involved in procurement
decisions? |
Yes
No |
| If Yes, at what level? |
Technical
Management
Executive
Owner |
| What is your personal procurement budget
per year? |
< Euro 10,000 |
| |
Euro 10,000 - Euro 100,000 |
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Euro 100,000 to Euro 1M |
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> Euro 1M |
| OR |
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| I am an advertiser or potential
advertiser |
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| Which month of the year do you decide on
your advertising spend? |
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| Are you planning to advertise in Global
Cement Magazine in the next twelve months? |
Yes
No |
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| I wish to receive |
Print
Edition
Digital Edition
Print & Digital Edition |
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| I am interested in: |
Refractories
for cement and lime |
| |
Slag
and slag usage |
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Alternative
fuels for cement and lime |
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Environmental
impact abatement in the cement & lime industry |
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Mortars
and/or drymix |
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Cement
trade |
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Cement
plant maintenance |
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Landfill
mining |
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Fly
ash |
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Lime |
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Concrete |
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Cement plant project
management |
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Cement plant project
finance |
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Cement quality control |
| Other, please specify |
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| Are you interested in being an exhibitor at
conferences about these subjects? |
Yes
No |