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1 = Ship, Boat or Barge Owner/Operator

2 = Ship, Boat or Barge Builder or Repairer

3 = Naval Architect or Marine Engineer

4 = Offshore Driller

5 = Navy, Coast Guard, Army Corps of Engineers or Gov’’t Agency

6 = Port Authority or Marine Terminal

7 = Marine Insurance

8 = Admiralty Law

9 = Marine Equipment Manufacturer, Supplier or Distributor

10 = Maritime Education, Training or Association

11 = Maritime Professionals and Consultants

99 = Other (Please specify below)

The primary business of my company is: (Select one)

-1 = Please select one

1 = Ship, Boat or Barge Owner/Operator

2 = Ship, Boat or Barge Builder or Repairer

3 = Naval Architect or Marine Engineer

4 = Offshore Driller

5 = Navy, Coast Guard, Army Corps of Engineers or Gov’’t Agency

6 = Port Authority or Marine Terminal

7 = Marine Insurance

8 = Admiralty Law

9 = Marine Equipment Manufacturer, Supplier or Distributor

10 = Maritime Education, Training or Association

11 = Maritime Professionals and Consultants

99 = Other (Please specify below)

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My job title is: (Select one)

-1 = Please select one

1 = Owner

2 = Chief Executive, Managing Director or Corporate Officer

3 = President

4 = Vice President

5 = General Manager

6 = Marine Superintendent

7 = Port Captain

8 = Port Engineer

9 = Naval Architect or Marine Engineer

10 = Ship Surveyor

11 = Purchasing Personnel

12 = Sales & Marketing Personnel

13 = Manager

99 = Other - Please Specify Below

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ACT = Australia Capital Territory

JBT = Jervis Bay Territory

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Last Name:

Job Title/Function:

-1 = SELECT FROM THE LIST

1 = Owner

2 = Chief Executive, Managing Director or Corporate Officer

3 = President

4 = Vice President

5 = General Manager

6 = Marine Superintendent

7 = Port Captain

8 = Port Engineer

9 = Naval Architect or Marine Engineer

10 = Ship Surveyor

11 = Purchasing Personnel

12 = Sales & Marketing Personnel

13 = Manager

99 = Other - Please Specify Below

Please Specify:

First Name:

Last Name:

Job Title/Function:

-1 = SELECT FROM THE LIST

1 = Owner

2 = Chief Executive, Managing Director or Corporate Officer

3 = President

4 = Vice President

5 = General Manager

6 = Marine Superintendent

7 = Port Captain

8 = Port Engineer

9 = Naval Architect or Marine Engineer

10 = Ship Surveyor

11 = Purchasing Personnel

12 = Sales & Marketing Personnel

13 = Manager

99 = Other - Please Specify Below

Please Specify:

First Name:

Last Name:

Job Title/Function:

-1 = SELECT FROM THE LIST

1 = Owner

2 = Chief Executive, Managing Director or Corporate Officer

3 = President

4 = Vice President

5 = General Manager

6 = Marine Superintendent

7 = Port Captain

8 = Port Engineer

9 = Naval Architect or Marine Engineer

10 = Ship Surveyor

11 = Purchasing Personnel

12 = Sales & Marketing Personnel

13 = Manager

99 = Other - Please Specify Below

Please Specify:

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