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*  First Name
*  Last Name
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*  Company
*  Address
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*  Which category best describes your business?
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Average annual revenue of your company:
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	$1-$4.9 million
	$5-$9.9 million
	$10-$49.9 million
	$50-$99.9 million
	$100-$499.9 million
	$500 million+
How many people are employed in your organization?
	1-10
	11-20
	21-50
	51-100
	101-250
	More than 250
*  What products are manufactured or provided by your company? (Check all that apply)
	Office
	Residential
	Institutional
	Transportation Facilities
	Hospitality/Restaurant
	Retail
	Healthcare
	Education
	Office Products
	Other
If dealer, what lines do you carry? (Check all that apply)
	Allsteel
	Global Industries, Inc.
	Haworth, Inc.
	Herman Miller, Inc.
	The HON Company
	Inscape
	Kimball International
	Knoll, Inc.
	La-Z-Boy Chair Co.
	Steelcase, Inc.
	Teknion Corporation
	Other
Is your dealership:
	Aligned
	Non-aligned
	Part of dealer alliance/group
Name of alliance?
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