Title
Name
Job Title
Company Name
Address 1
Address 2
City/Town
Country
Postcode / Zip Code
Phone Number
Email Address
1. Our magazines are audited by ABC who require the following question to be answered to authenticate your registration.
What is the month of your birth?
1 2 3 4 5 6 7 8 9 10 11 12
Yes, I wish to receive
HSI Magazine
HSME Magazine
OSA Magazine
AWE Magazine
2. Which category best describes your company? (tick ONE only):
PPE Manufacturer
Manufacturer
Distributor of PPE
Distributor
End User
Consultancy
Other, please specify
3. Which of the following products, if any, do you recommend, select and/or buy? (Tick ALL that apply)
Air Quality
Chromatography
Emissions Monitoring
Gas Detection
Groundwater Monitoring
Heavy Metal Monitoring
Humidity and Temperature Measurement
Land Remediation
Laboratory Testing Equipment
Meteorological Instruments
Noise Monitoring
Odour Monitoring
Remote and Wireless Monitoring
Soil Analysis
Spectroscopy
Water Analysis
Emergency Response
Security
Safety Equipment
Industrial Hygiene
Training
Software
Fire Protection
Occupational Health
Environmental Compliance
Ergonomics
None of the above
Other, please specify
4. Please indicate ALL functions for which you are responsible.
Safety
Executive Management / Administration
Production / Operations
Engineering
Purchasing
Security / Fire Protection
Industrial Hygiene / Environment
Personnel Management
Emergency Planning
First Response
Safety Product Distributor
Other, please specify
5. Which category best describes the primary product manufactured or service performed at your company?
Agricultural
Apparel and Other Textile Products
Automotive
Chemical and Allied Products
Construction
Distribution
Fabricated Metal Industries
Fire / Rescue / Hazmat / First Response
Food / Beverage Products
Government Agency
Local Authority
Insdustrial Machinery
Leather and Leather Products
Lumber and Wood Products
Mining
Miscellaneous Manufacturing
Oil and Gas
Petrochemicals
Petroleum and Coal Products
Pharmaceuticals
Power Generation
Primary Metal Industries
Printing and Publishing
Prof / Scientific / Technical Services
Rubber and Misc Plastic
Stone, Clay and Glass Products
Telecoms / IT
Tobacco Products
Water
Utilities / Waste Management
Other, please specify
6. Number of Employees at this location
1-49
50-99
100-249
250-499
500-999
1000-2999
3000-4999
5000+
7. Which of the following products/services do you plan to purchase in the next 12 months and would like more information on? (please tick ALL that apply):
Emergency Response
Hazmat Handling
First Aid
Protective Clothing
Hand Protection
Foot Protection
Fall Protection
Head Protection
Eye and Face Protection
Hearing Protection
Respiratory Protection
Training / Software
Ergonomics
Instr / Monitoring Equipment
Gas Detectors / Monitors
Other, please specify
8. (Optional): Is there anyone else at your location who should receive a copy of this magazine? Please enter the name(s) of additional people at your location:
Name
Job Title
Email
Name
Job Title
Email
Name
Job Title
Email
X YouTube Videos
Arbesko AB
Best
Cirrus Research Plc
Geotech
HexArmor
JSP Ltd
Ocean Optics EMEA
Petzl
SATRA Technology Centre
Showa