First Name* Last Name* Title* Company Name* Address City State/Province -- Select State -- Alabama Alberta Alaska Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Other Zip/Postal Code Country* --Select Country-- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Zaire) Congo Cook Islands Costa Rica Cote d'Ivoire (Ivory Coast) Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon The Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti The Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam West Bank and Gaza Strip Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Phone Number
Email Address* Company Description* --Select description-- 3PL Consultant Distributor Government Manufacturer Media Real Estate Retailer Wholesaler Other Primary Industry* --Select industry-- Automotive Chemical Consumer Energy Industrial Life Sciences Logistics Media Relations Pharmaceutical Real Estate Retail Technology Transportation Other Estimated annual revenue* --Select revenue-- $1 billion or greater in sales $500-999 million in sales $100-499 million in sales Less than $100 million in sales When might you be making a decision to outsource or change logistics providers?* --Select timing-- Next 30 days Next 90 days Next 6 months Next 12 months Uncertain Not applicable Website? Current logistics operations? --Select operations-- Managed in house 3rd Party Contracted Other Not applicable Which best describes your primary interest? --Select interest -- Assembly & Packaging Home & Business Delivery Inbound to Manufacturing In-Plant Services Manufacturing Services MRO Retail Replenishment Reverse Logistics Right Shoring Service Parts Logistics Supply Chain Analysis & Design Supply Chain Management Transportation Management Warehousing & Order Fulfillment Other All of the above