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First Name

Last Name

Job Title

Company Name

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City/Town

Address 1

Address 2

State/ Province

Zip code*

Phone Number - -

Business Email

What is your job function? Select Your job function Executive Management (CEO, President, Owner, VP, Managing Director) Purchasing Control Division Engineering COO VPs Project Manager Director Strategists and Operators Other (please specify)

How many people are employed in your entire organization including all branches, divisions, and subsidiaries? (Select one only) Total Employees in your entire organization 1. Over 40,000 2. 30,001 - 40,000 3. 20,001 - 30,000 4. 10,001 - 20,000 5. 5,001 - 10,000 6. 1,001 - 5,000 7. 501 - 1,000 8. 100-500 9. Less than 100

Which of the following best describes your organization's industry or function? (Select one only) Please select an industry..... 1. Electric Utilities 2. Gas Utilities 3. Water Utilities 4. Environment, Health & Safety (EHS) management 5. Billing and customer information systems, meter-to-cash (M2C) 6. Other(please specify)

If your industry is "Other" please specify:

What is the total revenue of your organization? (Select one only) Total annual revenues of entire organization 1. Over $40 Billion 2. $30 Billion to $39.9 Billion 3. $15 Billion to $29.9 Billion 4. $10 Billion to $14.9 Billion 5. $5 Billion to $9.9 Billion 6. $1 to $4.9 Billion 7. $501 to $999 Million 8. $101 to $500 Million 9. $50 to $100 Million 10. Under $50 Million

Which of the following products, services and/or technologies do you currently or plan to approve, specify, recommend, purchase or influence the purchase of? (Check all that apply) GRC for Utilities IOT for Utilities Big data for Utilities Security systems GIS Other(please specify)

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