Step 1: Complete your information belowName* First Last Job Title* Email* Phone*Company* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Step 2: My principal business at this location is: (Please be specific)Select from the following which best describes your organizationIndustry Group:*Choose one...Industrial ChemicalsPulp & PaperPetroleum, Coal & Natural GasPrimary PlasticsMetals ProcessingFood Processing & Beverage MFGNon-metallic MineralsPharmaceutials & MedicinesDetergents, Toilet Preparation, Soaps & CleaningRubber & Rubber ProductsProtective CoatingsThermal UtilitiesTextile IndustriesConstruction FirmsLaboratory PersonnelConsulting & Design EngineersGovernemnt EngineersEducational InstitutesOthers Allied to the FieldSpecific Industry (Industrial Chemicals):*Mfrs. Industrial ChemicalsMisc. Industrial ChemicalsAnimal Feed IndustriesMfrs. of Mixed FertilizersLeather TanneriesOther (Please specify below)Specific Industry (Pulp & Paper):*Choose One...Misc. Wood IndustriesPulp & Paper MillsAshphalt Roofing Mfrs.Paper Box & Bag Mfrs.Mist. Paper ConvertersOther (Please specify below)Specific Industry (Petroluem, Coal & Natural Gas):*Choose One...Coal MinesCrude Petroleum RefineriesPetroleum RefineriesMisc. Petroleum & CoalOther (Please specify below)Specific Industry (Primary Plastics):*Choose One...Mfrs. of Plastics & Synth ResinOther (Please specify below)Specific Industry (Metals Processing):*Choose One...Iron & Steel MillsSmelting & RefiningAluminum Rolling, Casting & ExCopper & Copper AlloyMetal Pressing, Stamping & COAGold Quartz MinesUranium MinesIron MinesMisc. Metal MinesOther (Please specify below)Specific Industry (Food Processing & Beverage Mfg.)*Choose One...Meat & Poultry IndustriesFish Product IndustriesFruit and Vegetable ProcessingDairy Products IndustriesFlour and Cereal IndustriesBakery Product IndustriesMisc. Food IndustriesBeverage IndustriesOther (Please specify below)Specific Industry (Non-Metallic Minerals):*Choose One...Clay Products ManufacturersConcrete Product ManufacturersGlass & Glass Product Mfrs.AbrasivesMisc. Non-metallic MineralCement ManufacturersReady-mix ConcreteLime ManufacturersAsbestos Mines & MillsGypsum Mines & MillsMisc. Mines & Mills Incl. SaltOther (Please specify below)Specific Industry (Pharmaceuticals & Medicines):*Choose One...Pharmaceuticals & MedicinesOther (Please specify below)Specific Industry (Detergents, Toilet Preparation, Soaps & Cleaning):*Choose One...Mfrs. of Soap & Cleaning Prod.Mfrs. of Toilet PreparationsOther (Please specify below)Specific Industry (Rubber & Rubber Products):*Choose One...Rubber & Rubber ProductsOther (Please specify below)Specific Industry (Protective Coatings):*Choose One...Paint & Varnish Mfrs.Other (Please specify below)Specific Industry (Thermal Utilities):*Choose One...Electric PowerGas DistributionOther Utilities Incl. NuclearOther (Please specify below)Specific Industry (Textile Industries):*Choose One...Cotton Yarn & Cloth MillsWool Yarn & Cloth MillsMan-made FibresFibre & Felt ProcessingKnitted Fabric Mfrs & MillsOther (Please specify below)Specific Industry (Construction Firms):*Choose One...Construction FirmsOther (Please specify below)Specific Industry (Government Engineers):*Choose One...Government EngineersOther (Please specify below)Spcific Industry (Educational Institutes):*Choose One...Education IndustriesOther (Please specify below)Please Specify:* Step 3: Select which publication you would like to Subscribe to(Choose one or both)* CPECN Magazine CPECN eNews How would you like your magazine delivered?*Choose one...PrintDigitalBothStep 4: Answer the following question and click the Submit buttonFOR AUDIT PURPOSES ONLYWhat is the first letter of the month in which you were born?*Choose One...JFMASOND