rylin.dragonforms.com
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Submitted URL: https://ryln.omeclk.com/portal/wts/ue%5EcnxycwAaqjFeckzmcD%3B%5E%3Bmd0cPtkEnwOyTanb%5Ed0cPtkEnwOyTa
Effective URL: https://rylin.dragonforms.com/loading.do?r=2571H2198245D7W&pk=ER2304&oly_enc_id=2571H2198245D7W&omedasite=MAT_renew
Submission: On April 07 via manual from US — Scanned from DE
Effective URL: https://rylin.dragonforms.com/loading.do?r=2571H2198245D7W&pk=ER2304&oly_enc_id=2571H2198245D7W&omedasite=MAT_renew
Submission: On April 07 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST saveRenewalSubscription.do;jsessionid=8F30C4C4B398BC0C4CEC65F1D21DE036
<form method="post" accept-charset="utf-8" action="saveRenewalSubscription.do;jsessionid=8F30C4C4B398BC0C4CEC65F1D21DE036" id="standardForm"><input type="hidden" name="14" id="14" value="2"><input type="hidden" id="dragonjsessionid"
name="dragonjsessionid" value="8F30C4C4B398BC0C4CEC65F1D21DE036"><input type="hidden" id="omedasite" name="omedasite" value="MAT_renew"><input type="hidden" id="shippingaddresscountry" name="shippingaddresscountry" value="7">
<div class="row">
<header class="sixteen columns header"><img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12465/16.jpg" alt="MATlogo"></header>
</div>
<div class="row">
<section class="sixteen columns content"><input name="demo63" type="hidden" value="ER2304" id="demo63">
<h2>Renew Subscription</h2>
<p>* indicate required fields</p>
<hr>
<p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo66" type="text" value="Scott" id="id1" maxlength="40" size="40"></p>
<p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo67" type="text" value="Friend" id="id2" maxlength="40" size="40"></p>
<p id="p10" class="drg-element-type-standard-field drg-element-sub-type-fieldname-TITLE addresslabel"><span class="questionlabel "><label for="id10">Title <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo68" type="text" value="Plant Engineer" id="id10" maxlength="40" size="40"></p>
<p id="p3" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COMPANY addresslabel"><span class="questionlabel "><label for="id3">Company <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo69" type="text" value="Catawba Nuclear Station" id="id3" maxlength="40" size="40"></p>
<p id="p4" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ADDRESS addresslabel"><span class="questionlabel "><label for="id4">Address 1 <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo70" type="text" value="4800 Concord Rd" id="id4" maxlength="255" size="255"></p>
<p id="p5" class="drg-element-type-standard-field drg-element-sub-type-fieldname-DEPARTMENT addresslabel"><span class="questionlabel "><label for="id5">Address 2</label> </span><input class="drg-field-address-normal" name="demo71" type="text"
value="" id="id5" maxlength="255" size="255"></p>
<p id="p6" class="drg-element-type-standard-field drg-element-sub-type-fieldname-CITY addresslabel"><span class="questionlabel "><label for="id6">City <font color="red">*</font></label> </span><input class="drg-field-address-normal"
name="demo72" type="text" value="York" id="id6" maxlength="100" size="100"></p><span class="spanc8 drg-element-type-standard-field drg-element-sub-type-fieldname-STATE">
<p id="p8" class="drg-element-type-standard-field drg-element-sub-type-fieldname-STATE addresslabel"><span class="questionlabel "><label for="id8">State/Province (USA & Canada only) <font color="red">*</font></label> </span><select
name="demo73" id="id8">
<option value="">Select One</option>
<option value="1">ALABAMA</option>
<option value="2">ALASKA</option>
<option value="3">ARIZONA</option>
<option value="4">ARKANSAS</option>
<option value="5">CALIFORNIA</option>
<option value="6">COLORADO</option>
<option value="7">CONNECTICUT</option>
<option value="8">DELAWARE</option>
<option value="9">DISTRICT OF COLUMBIA</option>
<option value="10">FLORIDA</option>
<option value="11">GEORGIA</option>
<option value="12">HAWAII</option>
<option value="13">IDAHO</option>
<option value="14">ILLINOIS</option>
<option value="15">INDIANA</option>
<option value="16">IOWA</option>
<option value="17">KANSAS</option>
<option value="18">KENTUCKY</option>
<option value="19">LOUISIANA</option>
<option value="20">MAINE</option>
<option value="21">MARYLAND</option>
<option value="22">MASSACHUSETTS</option>
<option value="23">MICHIGAN</option>
<option value="24">MINNESOTA</option>
<option value="25">MISSISSIPPI</option>
<option value="26">MISSOURI</option>
<option value="27">MONTANA</option>
<option value="28">NEBRASKA</option>
<option value="29">NEVADA</option>
<option value="30">NEW HAMPSHIRE</option>
<option value="31">NEW JERSEY</option>
<option value="32">NEW MEXICO</option>
<option value="33">NEW YORK</option>
<option value="34">NORTH CAROLINA</option>
<option value="35">NORTH DAKOTA</option>
<option value="36">OHIO</option>
<option value="37">OKLAHOMA</option>
<option value="38">OREGON</option>
<option value="39">PENNSYLVANIA</option>
<option value="40">RHODE ISLAND</option>
<option value="41" selected="">SOUTH CAROLINA</option>
<option value="42">SOUTH DAKOTA</option>
<option value="43">TENNESSEE</option>
<option value="44">TEXAS</option>
<option value="45">UTAH</option>
<option value="46">VERMONT</option>
<option value="47">VIRGIN ISLANDS</option>
<option value="48">VIRGINIA</option>
<option value="49">WASHINGTON</option>
<option value="50">WEST VIRGINIA</option>
<option value="51">WISCONSIN</option>
<option value="52">WYOMING</option>
<option value="53">American Samoa</option>
<option value="54">Guam</option>
<option value="56">Micronesia (Federated States of)</option>
<option value="58">Puerto Rico</option>
<option value="59">U.S. Minor Outlying Islands</option>
<option value="60">NORTHERN MARIANA ISLANDS</option>
<option value="61">Armed Forces Africa</option>
<option value="62">Armed Forces Americas AA (except Canada)</option>
<option value="63">Armed Forces Canada</option>
<option value="64">Armed Forces Europe AE</option>
<option value="65">Armed Forces Middle East AE</option>
<option value="66">Armed Forces Pacific AP</option>
<option value="67">ALBERTA</option>
<option value="68">NOVA SCOTIA</option>
<option value="69">BRITISH COLUMBIA</option>
<option value="70">ONTARIO</option>
<option value="71">MANITOBA</option>
<option value="72">PRINCE EDWARD ISLAND</option>
<option value="73">NEW BRUNSWICK</option>
<option value="74">QUEBEC</option>
<option value="75">NEWFOUNDLAND</option>
<option value="76">SASKATCHEWAN</option>
<option value="77">NORTHWEST TERRITORIES</option>
<option value="78">YUKON TERRITORY</option>
<option value="79">NUNAVUT</option>
<option value="1002">FOREIGN</option>
</select></p>
</span>
<p id="p9" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ZIP addresslabel"><span class="questionlabel "><label for="id9">Zip <font color="red">*</font></label> </span><input class="drg-field-address-normal" name="demo74"
type="text" value="297459635" id="id9" maxlength="9" size="9"></p><span class="spanc7 drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY">
<p id="p7" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY addresslabel"><span class="questionlabel "><label for="id7">Country <font color="red">*</font></label> </span><select name="demo75" id="id7">
<option value="">Select One</option>
<option value="80" selected="">UNITED STATES</option>
<option value="81">CANADA</option>
<option value="84">AFGHANISTAN</option>
<option value="86">ALBANIA</option>
<option value="87">ALGERIA</option>
<option value="89">ANDORRA</option>
<option value="90">ANGOLA</option>
<option value="91">ANGUILLA</option>
<option value="350">ANTARCTICA</option>
<option value="92">ANTIGUA</option>
<option value="93">ARGENTINA</option>
<option value="94">ARMENIA</option>
<option value="95">ARUBA</option>
<option value="96">ASCENSION IS</option>
<option value="97">AUSTRALIA</option>
<option value="98">AUSTRIA</option>
<option value="99">AZERBAIJAN</option>
<option value="101">BAHAMAS</option>
<option value="102">BAHRAIN</option>
<option value="103">BANGLADESH</option>
<option value="104">BARBADOS</option>
<option value="106">BELARUS</option>
<option value="108">BELGIUM</option>
<option value="109">BELIZE</option>
<option value="110">BENIN</option>
<option value="111">BERMUDA</option>
<option value="112">BHUTAN</option>
<option value="113">BOLIVIA</option>
<option value="115">BOSNIA-HERZEGOVINA</option>
<option value="116">BOTSWANA</option>
<option value="117">BRAZIL</option>
<option value="351">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="118">BRITISH VIRGIN IS</option>
<option value="120">BRUNEI</option>
<option value="121">BULGARIA</option>
<option value="122">BURKINA FASO</option>
<option value="123">BURUNDI</option>
<option value="124">CAMBODIA</option>
<option value="125">CAMEROON</option>
<option value="127">CAPE VERDE ISLANDS</option>
<option value="128">CAYMAN ISLANDS</option>
<option value="129">CENTRAL AFRICAN REP</option>
<option value="130">CHAD</option>
<option value="134">CHILE</option>
<option value="135">CHINA</option>
<option value="136">COCO ISLAND</option>
<option value="137">COLOMBIA</option>
<option value="138">COMOROS</option>
<option value="139">CONGO</option>
<option value="141">COOK ISLANDS</option>
<option value="142">COSTA RICA</option>
<option value="143">CROATIA</option>
<option value="144">CUBA</option>
<option value="145">CYPRUS</option>
<option value="146">CZECH REPUBLIC</option>
<option value="147">DENMARK</option>
<option value="148">DJIBOUTI</option>
<option value="149">DOMINICA</option>
<option value="150">DOMINICAN REPUBLIC</option>
<option value="151">EAST TIMOR</option>
<option value="152">ECUADOR</option>
<option value="153">EGYPT</option>
<option value="154">EL SALVADOR</option>
<option value="156">ERITREA</option>
<option value="157">ESTONIA</option>
<option value="158">ETHIOPIA</option>
<option value="159">FAEROE ISLANDS</option>
<option value="160">FALKLAND ISLANDS</option>
<option value="161">FIJI</option>
<option value="162">FINLAND</option>
<option value="163">FRANCE</option>
<option value="164">FRENCH GUIANA</option>
<option value="165">FRENCH POLYNESIA</option>
<option value="168">GABON</option>
<option value="169">GAMBIA</option>
<option value="171">GEORGIA</option>
<option value="172">GERMANY</option>
<option value="173">GHANA</option>
<option value="174">GIBRALTAR</option>
<option value="176">GREECE</option>
<option value="177">GREENLAND</option>
<option value="178">GRENADA</option>
<option value="179">GUADELOUPE</option>
<option value="180">GUATEMALA</option>
<option value="181">GUERNSEY</option>
<option value="182">GUINEA</option>
<option value="183">GUYANA</option>
<option value="184">HAITI</option>
<option value="185">HONDURAS</option>
<option value="186">HONG KONG</option>
<option value="187">HUNGARY</option>
<option value="188">ICELAND</option>
<option value="189">INDIA</option>
<option value="190">INDONESIA</option>
<option value="191">IRAN</option>
<option value="192">IRAQ</option>
<option value="193">IRELAND</option>
<option value="194">ISLE OF MAN</option>
<option value="195">ISRAEL</option>
<option value="196">ITALY</option>
<option value="197">IVORY COAST</option>
<option value="198">JAMAICA</option>
<option value="199">JAPAN</option>
<option value="200">JORDAN</option>
<option value="201">KAZAKHSTAN</option>
<option value="202">KENYA</option>
<option value="204">KIRIBATI</option>
<option value="206">KUWAIT</option>
<option value="207">KYRGYZSTAN</option>
<option value="208">LAOS</option>
<option value="209">LATVIA</option>
<option value="210">LEBANON</option>
<option value="211">LESOTHO</option>
<option value="212">LIBERIA</option>
<option value="213">LIBYA</option>
<option value="214">LIECHTENSTEIN</option>
<option value="215">LITHUANIA</option>
<option value="216">LUXEMBOURG</option>
<option value="217">MACAO</option>
<option value="218">MACEDONIA</option>
<option value="219">MADAGASCAR</option>
<option value="221">MALAWI</option>
<option value="222">MALAYSIA</option>
<option value="223">MALDIVES</option>
<option value="224">MALI</option>
<option value="225">MALTA</option>
<option value="226">MARSHALL ISLANDS</option>
<option value="227">MARTINIQUE</option>
<option value="228">MAURITANIA</option>
<option value="229">MAURITIUS</option>
<option value="230">MAYOTTE</option>
<option value="231">MEXICO</option>
<option value="232">MICRONESIA</option>
<option value="233">MOLDOVA</option>
<option value="235">MONACO</option>
<option value="236">MONGOLIA</option>
<option value="237">MONTENEGRO</option>
<option value="238">MONTSERRAT</option>
<option value="239">MOROCCO</option>
<option value="240">MOZAMBIQUE</option>
<option value="241">MYANMAR</option>
<option value="242">NAMIBIA</option>
<option value="243">NAURU</option>
<option value="244">NEPAL</option>
<option value="245">NETHERLAND ANTILLES</option>
<option value="246">NETHERLANDS</option>
<option value="248">NEW CALEDONIA</option>
<option value="249">NEW GUINEA</option>
<option value="250">NEW ZEALAND</option>
<option value="251">NICARAGUA</option>
<option value="252">NIGER</option>
<option value="253">NIGERIA</option>
<option value="254">NORTH KOREA</option>
<option value="256">NORWAY</option>
<option value="257">OMAN</option>
<option value="259">PAKISTAN</option>
<option value="260">PALAU</option>
<option value="261">PALESTINE</option>
<option value="262">PANAMA</option>
<option value="264">PARAGUAY</option>
<option value="265">PERU</option>
<option value="266">PHILIPPINES</option>
<option value="268">PITCAIRN IS</option>
<option value="269">POLAND</option>
<option value="270">PORTUGAL</option>
<option value="271">QATAR</option>
<option value="272">REUNION</option>
<option value="273">ROMANIA</option>
<option value="274">RUSSIA</option>
<option value="275">RWANDA</option>
<option value="276">SAN MARINO</option>
<option value="277">SAO TOME E PRINCIPE</option>
<option value="279">SAUDI ARABIA</option>
<option value="281">SENEGAL</option>
<option value="282">SERBIA</option>
<option value="283">SEYCHELLES</option>
<option value="284">SIERRA LEONE</option>
<option value="285">SINGAPORE</option>
<option value="286">SLOVAK REPUBLIC</option>
<option value="287">SLOVENIA</option>
<option value="288">SOLOMON ISLANDS</option>
<option value="289">SOMALIA</option>
<option value="290">SOUTH AFRICA</option>
<option value="291">SOUTH KOREA</option>
<option value="292">SPAIN</option>
<option value="293">SRI LANKA</option>
<option value="294">ST CROIX</option>
<option value="295">ST KITTS</option>
<option value="296">ST LUCIA</option>
<option value="298">ST MARTIN</option>
<option value="299">ST PIERRE</option>
<option value="300">ST VINCENT</option>
<option value="301">SUDAN</option>
<option value="302">SURINAME</option>
<option value="303">SWAZILAND</option>
<option value="304">SWEDEN</option>
<option value="305">SWITZERLAND</option>
<option value="306">SYRIA</option>
<option value="308">TAIWAN</option>
<option value="309">TAJIKISTAN</option>
<option value="310">TANZANIA</option>
<option value="312">THAILAND</option>
<option value="314">TOGO</option>
<option value="315">TONGA</option>
<option value="316">TRINIDAD AND TOBAGO</option>
<option value="317">TUNISIA</option>
<option value="318">TURKEY</option>
<option value="319">TURKMENISTAN</option>
<option value="320">TURKS ISLAND</option>
<option value="321">TUVALU</option>
<option value="322">UGANDA</option>
<option value="323">UKRAINE</option>
<option value="324">UNITED ARAB EMIRATES</option>
<option value="749">UNITED KINGDOM</option>
<option value="325">URUGUAY</option>
<option value="326">UZBEKISTAN</option>
<option value="327">VANUATU</option>
<option value="328">VATICAN CITY</option>
<option value="329">VENEZUELA</option>
<option value="330">VIETNAM</option>
<option value="332">WALLIS ISLAND</option>
<option value="333">WESTERN SAHARA</option>
<option value="334">WESTERN SAMOA</option>
<option value="335">YEMEN</option>
<option value="336">ZAIRE</option>
<option value="337">ZAMBIA</option>
<option value="338">ZIMBABWE</option>
</select></p>
</span>
<div id="disp76" style="opacity: 0.818712;">
<p id="p11" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE addresslabel"><span class="questionlabel "><label for="id11">Phone</label> </span><input class="drg-field-address-normal" name="demo76" type="text"
onkeyup="this.value = this.value.replace(/\D/g,'');" value="8038313000" id="id11" maxlength="32" size="32"></p>
</div>
<div id="disp77" style="display:none;">
<p id="p101" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FOREIGN_PHONE addresslabel"><span class="questionlabel "><label for="id101">Phone</label> </span><input class="drg-field-address-normal" name="demo77"
type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id101" maxlength="32" size="32"></p>
</div>
<div id="disp78" style="opacity: 0.818712;">
<p id="p12" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FAX addresslabel"><span class="questionlabel "><label for="id12">Fax</label> </span><input class="drg-field-address-normal" name="demo78" type="text"
onkeyup="this.value = this.value.replace(/\D/g,'');" value="8037013555" id="id12" maxlength="32" size="32"></p>
</div>
<div id="disp79" style="display:none;">
<p id="p113" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FOREIGN_FAX addresslabel"><span class="questionlabel "><label for="id113">Fax</label> </span><input class="drg-field-address-normal" name="demo79" type="text"
onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id113" maxlength="32" size="32"></p>
</div>
<p id="p124" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE_MOBILE addresslabel"><span class="questionlabel "><label for="id124">Cell Phone</label> </span><input class="drg-field-address-normal" name="demo85"
type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id124" maxlength="20" size="20"></p>
<p id="p13" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDR addresslabel"><span class="questionlabel "><label for="id13">Email Address <font color="red">*</font></label> </span><input
class="drg-field-address-normal" name="demo80" type="text" value="scott.friend@duke-energy.com" id="id13" maxlength="50" size="50"></p>
<hr><span class="spanc112 drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION">
<p id="p112" class="drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION"><span class="questionlabel ">How would you like to receive your copy of Efficient Plant? <font color="red">*</font> </span></p>
<ul>
<li class="licr112_998 lier83_998 "><input name="demo83" type="radio" value="998" id="id112_998"><span class="radiolabel"><label for="id112_998">Print (Free for USA readers only)</label></span></li>
<li class="licr112_999 lier83_999 "><input name="demo83" type="radio" value="999" id="id112_999" checked=""><span class="radiolabel"><label for="id112_999">Digital version (e-mailed with a link)</label></span></li>
<li class="licr112_1000 lier83_1000 "><input name="demo83" type="radio" value="1000" id="id112_1000"><span class="radiolabel"><label for="id112_1000">Both Print & Digital versions (Free for US readers only)</label></span></li>
</ul>
</span>
<hr>
<div id="disp86" style="opacity: 0.818712;"><span class="spanc13 drg-element-type-demographic drg-element-sub-type-type-1">
<p id="p13" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id13">What best describes your Primary Business? <font color="red">*</font></label> </span><select name="demo86"
id="id13">
<option value="">Select...</option>
<option value="45">Oil, Gas, Petroleum Refinery</option>
<option value="46">Chemicals, Pharmaceutical</option>
<option value="54" selected="">Utilities: Gas, Water/Waste Water, Power Generation</option>
<option value="42">Food, Beverage, Tobacco</option>
<option value="60">Mining</option>
<option value="48">Primary/Fabricated Metals</option>
<option value="49">Industrial/Commercial Machinery</option>
<option value="47">Plastic or Rubber</option>
<option value="44">Wood, Paper or Printing</option>
<option value="50">Electronic Equipment</option>
<option value="51">Transportation Equipment</option>
<option value="52">Instrumentation, Control Products</option>
<option value="53">Misc. Manufacturing</option>
<option value="55">Distribution Centers/Warehousing</option>
<option value="59">Engineering/Contract Services</option>
<option value="43">Textile, Apparel, Leather</option>
<option value="57">Government, Military, Aerospace</option>
<option value="56">Hospitals and Health Care Facilities</option>
<option value="58">Other (Please specify)</option>
</select></p>
</span>
<div id="other58" class="otherfillin" style="display: none;">
<p id="p58"><span id="otherfillinid_r58" class="otherfillinlabelomeda">Other (Please specify)</span><input name="demo86_r58" type="text" value="" id="id_r58" maxlength="50" size="50"></p>
</div>
</div>
<div id="disp92" style="opacity: 0.818712;">
<hr>
</div>
<div id="disp87" style="opacity: 0.818712;"><span class="spanc9 drg-element-type-demographic drg-element-sub-type-type-1">
<p id="p9" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id9">What is the total number of employees at this location? <font color="red">*</font></label> </span><select
name="demo87" id="id9">
<option value="">Select...</option>
<option value="20">1 - 49</option>
<option value="21">50 - 99</option>
<option value="22">100 - 249</option>
<option value="23" selected="">250 - 499</option>
<option value="24">500 - 999</option>
<option value="25">1,000 and over</option>
</select></p>
</span></div>
<div id="disp93" style="opacity: 0.818712;">
<hr>
</div>
<div id="disp88" style="opacity: 0.818712;"><span class="spanc15 drg-element-type-demographic drg-element-sub-type-type-1">
<p id="p15" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel ">Are you involved in or responsible for plant maintenance or equipment reliability? <font color="red">*</font> </span></p>
<ul>
<li class="licr15_72 lier88_72 "><input name="demo88" type="radio" value="72" id="id15_72"><span class="radiolabel"><label for="id15_72">Yes</label></span></li>
<li class="licr15_73 lier88_73 "><input name="demo88" type="radio" value="73" id="id15_73"><span class="radiolabel"><label for="id15_73">No</label></span></li>
</ul>
</span></div>
<div id="disp94" style="opacity: 0.818712;">
<hr>
</div>
<div id="disp89" style="opacity: 0.818712;"><span class="spanc11 drg-element-type-demographic drg-element-sub-type-type-1">
<p id="p11" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id11">What best describes your level of involvement? <font color="red">*</font></label> </span><select name="demo89"
id="id11">
<option value="">Select...</option>
<option value="27">Corporate/Multiplant</option>
<option value="28">Plant/Facility manager</option>
<option value="29">Maintenance/Reliability manager</option>
<option value="30">Supervisory</option>
<option value="31" selected="">Maintenance Engineer/Technician</option>
<option value="32">Consulting Services</option>
<option value="33">Other (Please specify)</option>
</select></p>
</span>
<div id="other33" class="otherfillin" style="display: none;">
<p id="p33"><span id="otherfillinid_r33" class="otherfillinlabelomeda">Other (Please specify)</span><input name="demo89_r33" type="text" value="" id="id_r33" maxlength="50" size="50"></p>
</div>
</div>
<div id="disp95" style="opacity: 0.818712;">
<hr>
</div>
<div id="disp90" style="opacity: 0.818712;"><span class="spanc3 drg-element-type-demographic drg-element-sub-type-type-2">
<p id="p3" class="drg-element-type-demographic drg-element-sub-type-type-2"><span class="questionlabel ">Check all the products and services that you specify, recommend, buy, or approve. (Check All That Apply) </span></p>
<ul>
<li class="licr3_63 lier90_63 "><input name="demo90" type="checkbox" value="63" id="id3_63"><span class="checkboxlabel"><label for="id3_63">Predictive Maintenance/Conditioning Monitoring (Vibration Analysis, Infrared, Oil Analysis,
etc.)</label></span></li>
<li class="licr3_64 lier90_64 "><input name="demo90" type="checkbox" value="64" id="id3_64"><span class="checkboxlabel"><label for="id3_64">Computerized Maintenance Information Systems and Software (CMMS)</label></span></li>
<li class="licr3_65 lier90_65 "><input name="demo90" type="checkbox" value="65" id="id3_65"><span class="checkboxlabel"><label for="id3_65">Training</label></span></li>
<li class="licr3_66 lier90_66 "><input name="demo90" type="checkbox" value="66" id="id3_66"><span class="checkboxlabel"><label for="id3_66">Test/Diagnostic Instruments</label></span></li>
<li class="licr3_67 lier90_67 "><input name="demo90" type="checkbox" value="67" id="id3_67"><span class="checkboxlabel"><label for="id3_67">Contract Services</label></span></li>
<li class="licr3_68 lier90_68 "><input name="demo90" type="checkbox" value="68" id="id3_68"><span class="checkboxlabel"><label for="id3_68">Mechanical Systems/Equipment (Pump, Compressors, Power Transmission, etc.)</label></span></li>
<li class="licr3_69 lier90_69 "><input name="demo90" type="checkbox" value="69" id="id3_69"><span class="checkboxlabel"><label for="id3_69">Electrical Systems/Equipment (Motors, Controls, Protective Devices, etc.)</label></span></li>
<li class="licr3_70 lier90_70 "><input name="demo90" type="checkbox" value="70" id="id3_70"><span class="checkboxlabel"><label for="id3_70">Power Plant Systems/Equipment (Boilers, Heat Exchangers, Processing Equipment,
etc.)</label></span></li>
<li class="licr3_71 lier90_71 "><input name="demo90" type="checkbox" value="71" id="id3_71"><span class="checkboxlabel"><label for="id3_71">Material Handling</label></span></li>
</ul>
</span></div>
<div id="disp96" style="opacity: 0.818712;">
<hr>
</div>
<div id="disp91" style="opacity: 0.818712;"><span class="spancd4 drg-element-type-deployment-type drg-element-sub-type-none">
<p id="pd4" class="drg-element-type-deployment-type drg-element-sub-type-none"><span class="questionlabel ">Do you want to receive informative e-mails regarding new products or techniques? <font color="red">*</font> </span></p>
<ul>
<li class="licrd4_1 lier91_1 "><input name="opt91" type="radio" value="1" id="optid4"><span class="radiolabel"><label for="optid4">Yes</label></span></li>
<li class="licrd4_2 lier91_2 "><input name="opt91" type="radio" value="2" id="optid4"><span class="radiolabel"><label for="optid4">No</label></span></li>
</ul>
</span></div>
<div id="disp97" style="opacity: 0.818712;">
<hr>
</div><span class="spanc24 drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE">
<p id="p24" class="drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE"><span class="questionlabel ">Do you wish to receive/continue receiving Efficient Plant Magazine? <font color="red">*</font> </span></p>
<ul>
<li class="licr24_343 lier98_343 "><input name="demo98" type="radio" value="343" id="id24_343"><span class="radiolabel"><label for="id24_343">Yes</label></span></li>
<li class="licr24_344 lier98_344 "><input name="demo98" type="radio" value="344" id="id24_344"><span class="radiolabel"><label for="id24_344">No</label></span></li>
</ul>
</span>
<hr>
<div id="disp100" style="opacity: 0.818712;"><strong>Please also send <em>Efficient Plant</em> Magazine completely free to the following individuals employed at the location listed above:</strong></div>
<ul class="groupul">
<li class="groupinline">
<div id="disp102_1" style="opacity: 0.818712;">
<p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name</label> </span><input class="drg-field-address-normal" name="demo102_1"
type="text" value="" id="id1" maxlength="40" size="40"></p>
</div>
</li>
<li class="groupinline">
<div id="disp103_1" style="opacity: 0.818712;">
<p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name</label> </span><input class="drg-field-address-normal" name="demo103_1"
type="text" value="" id="id2" maxlength="40" size="40"></p>
</div>
</li>
<li class="groupinline">
<div id="disp104_1" style="opacity: 0.818712;">
<p id="p10" class="drg-element-type-standard-field drg-element-sub-type-fieldname-TITLE addresslabel"><span class="questionlabel "><label for="id10">Title</label> </span><input class="drg-field-address-normal" name="demo104_1" type="text"
value="" id="id10" maxlength="40" size="40"></p>
</div>
</li>
<li class="groupinline">
<div id="disp105_1" style="opacity: 0.818712;"><span class="spanc11 drg-element-type-demographic drg-element-sub-type-type-1">
<p id="p11" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id11">Involvement</label> </span><select name="demo105_1" id="id11">
<option value="">Select...</option>
<option value="27_1" [-selected105_r27_1-]="">Corporate/Multiplant</option>
<option value="28_1" [-selected105_r28_1-]="">Plant/Facility manager</option>
<option value="29_1" [-selected105_r29_1-]="">Maintenance/Reliability manager</option>
<option value="30_1" [-selected105_r30_1-]="">Supervisory</option>
<option value="31_1" [-selected105_r31_1-]="">Maintenance Engineer/Technician</option>
<option value="32_1" [-selected105_r32_1-]="">Consulting Services</option>
<option value="33_1" [-selected105_r33_1-]="">Other (Please specify)</option>
</select></p>
</span></div>
</li>
<li class="groupinline">
<div>
<div id="other33_1" class="otherfillin" style="display: none;">
<p id="p33_1"><span id="otherfillinid_r33_1" class="otherfillinlabelomeda">Other (Please specify)</span><input name="demo105_r33_1" type="text" value="" id="id_r33_1" maxlength="50" size="50"></p>
</div>
</div>
</li>
<li>
<div id="disp106_1" style="opacity: 0.818712;"><input name="demo106_1" type="hidden" value="751" id="demo106_1"></div>
</li>
</ul>
<div id="disp107" style="opacity: 0.818712;">
<hr>
</div><input id="clickherebtn" type="submit" value="Submit">
</section>
</div>
<div class="row">
<section class="sixteen columns controls">
<div class="button">
<input type="submit" value="Submit" id="custombtn">
</div>
</section>
</div>
<input type="hidden" name="transactionKey" value="dragon-hpci-34685fbb2dd54e14944b7d5f0c169744"><input type="hidden" name="dragon_pagenumber" value="2"><input type="hidden" id="originalUrlParams"
value="r=2571H2198245D7W&pk=ER2304&oly_enc_id=2571H2198245D7W&omedasite=MAT_renew">
</form>Text Content
RENEW SUBSCRIPTION * indicate required fields -------------------------------------------------------------------------------- First Name * Last Name * Title * Company * Address 1 * Address 2 City * State/Province (USA & Canada only) * Select OneALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGIN ISLANDSVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGAmerican SamoaGuamMicronesia (Federated States of)Puerto RicoU.S. Minor Outlying IslandsNORTHERN MARIANA ISLANDSArmed Forces AfricaArmed Forces Americas AA (except Canada)Armed Forces CanadaArmed Forces Europe AEArmed Forces Middle East AEArmed Forces Pacific APALBERTANOVA SCOTIABRITISH COLUMBIAONTARIOMANITOBAPRINCE EDWARD ISLANDNEW BRUNSWICKQUEBECNEWFOUNDLANDSASKATCHEWANNORTHWEST TERRITORIESYUKON TERRITORYNUNAVUTFOREIGN Zip * Country * Select OneUNITED STATESCANADAAFGHANISTANALBANIAALGERIAANDORRAANGOLAANGUILLAANTARCTICAANTIGUAARGENTINAARMENIAARUBAASCENSION ISAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA-HERZEGOVINABOTSWANABRAZILBRITISH INDIAN OCEAN TERRITORYBRITISH VIRGIN ISBRUNEIBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCAPE VERDE ISLANDSCAYMAN ISLANDSCENTRAL AFRICAN REPCHADCHILECHINACOCO ISLANDCOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICEAST TIMORECUADOREGYPTEL SALVADORERITREAESTONIAETHIOPIAFAEROE ISLANDSFALKLAND ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUATEMALAGUERNSEYGUINEAGUYANAHAITIHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISLE OF MANISRAELITALYIVORY COASTJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKUWAITKYRGYZSTANLAOSLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLAND ANTILLESNETHERLANDSNEW CALEDONIANEW GUINEANEW ZEALANDNICARAGUANIGERNIGERIANORTH KOREANORWAYOMANPAKISTANPALAUPALESTINEPANAMAPARAGUAYPERUPHILIPPINESPITCAIRN ISPOLANDPORTUGALQATARREUNIONROMANIARUSSIARWANDASAN MARINOSAO TOME E PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESLOVAK REPUBLICSLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH KOREASPAINSRI LANKAST CROIXST KITTSST LUCIAST MARTINST PIERREST VINCENTSUDANSURINAMESWAZILANDSWEDENSWITZERLANDSYRIATAIWANTAJIKISTANTANZANIATHAILANDTOGOTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS ISLANDTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMURUGUAYUZBEKISTANVANUATUVATICAN CITYVENEZUELAVIETNAMWALLIS ISLANDWESTERN SAHARAWESTERN SAMOAYEMENZAIREZAMBIAZIMBABWE Phone Phone Fax Fax Cell Phone Email Address * -------------------------------------------------------------------------------- How would you like to receive your copy of Efficient Plant? * * Print (Free for USA readers only) * Digital version (e-mailed with a link) * Both Print & Digital versions (Free for US readers only) -------------------------------------------------------------------------------- What best describes your Primary Business? * Select...Oil, Gas, Petroleum RefineryChemicals, PharmaceuticalUtilities: Gas, Water/Waste Water, Power GenerationFood, Beverage, TobaccoMiningPrimary/Fabricated MetalsIndustrial/Commercial MachineryPlastic or RubberWood, Paper or PrintingElectronic EquipmentTransportation EquipmentInstrumentation, Control ProductsMisc. ManufacturingDistribution Centers/WarehousingEngineering/Contract ServicesTextile, Apparel, LeatherGovernment, Military, AerospaceHospitals and Health Care FacilitiesOther (Please specify) Other (Please specify) -------------------------------------------------------------------------------- What is the total number of employees at this location? * Select...1 - 4950 - 99100 - 249250 - 499500 - 9991,000 and over -------------------------------------------------------------------------------- Are you involved in or responsible for plant maintenance or equipment reliability? * * Yes * No -------------------------------------------------------------------------------- What best describes your level of involvement? * Select...Corporate/MultiplantPlant/Facility managerMaintenance/Reliability managerSupervisoryMaintenance Engineer/TechnicianConsulting ServicesOther (Please specify) Other (Please specify) -------------------------------------------------------------------------------- Check all the products and services that you specify, recommend, buy, or approve. (Check All That Apply) * Predictive Maintenance/Conditioning Monitoring (Vibration Analysis, Infrared, Oil Analysis, etc.) * Computerized Maintenance Information Systems and Software (CMMS) * Training * Test/Diagnostic Instruments * Contract Services * Mechanical Systems/Equipment (Pump, Compressors, Power Transmission, etc.) * Electrical Systems/Equipment (Motors, Controls, Protective Devices, etc.) * Power Plant Systems/Equipment (Boilers, Heat Exchangers, Processing Equipment, etc.) * Material Handling -------------------------------------------------------------------------------- Do you want to receive informative e-mails regarding new products or techniques? * * Yes * No -------------------------------------------------------------------------------- Do you wish to receive/continue receiving Efficient Plant Magazine? * * Yes * No -------------------------------------------------------------------------------- Please also send Efficient Plant Magazine completely free to the following individuals employed at the location listed above: * First Name * Last Name * Title * Involvement Select...Corporate/MultiplantPlant/Facility managerMaintenance/Reliability managerSupervisoryMaintenance Engineer/TechnicianConsulting ServicesOther (Please specify) * Other (Please specify) * -------------------------------------------------------------------------------- Publisher reserves the right to reject nonqualified subscriptions. 0 ERRORS <%-- the gray background --%> Yes No