Membership Registration Form (Every Question With A Red Star * Is Required)

Contact & Company Information

 

Name *	email *
Company *	Address *
Phone *	City *
Fax Number	State *
Website Address	Zip Code *

How did you find out about PavementMaintenanceOnline.com "PMO"? *

Existing member of SweepersOnline.com
Online search engines, Internet (i.e., Alta Vista, Lycos, Yahoo)
Magazine Advertisement (i.e., Pavement, Roads& Bridges)
Word of mouth
Other, please explain:

Industry, Company & Related  Information
PavementMaintenanceOnline.com would like to learn a bit about your business 
and get your input on what you would like to see and what you need on the
site. Please take a few moments to fill out the following survey.
What Industry are you in? *

Sweeping
Paving
Seal Coating
Grounds Keeping
Snow Plowing

What is your company's primary business?

Contractor
Manufacturer 
Dealer/Distributor 
After Market Supplier 
Insurance Company
Leasing Company 
Event/Exhibit/Seminar Holder or Sponsor
Association/Club/Organization
Publisher/Editor for Publications/Trade Journals
Other

What other functions or categories from above do you perform, and what percentage are these functions in comparison to your primary business?

IF your company is a contracting firm; are you involved in paving,
sealcoating, marking, sweeping, snowplowing, landscape construction or
landscape maintenance?*

Yes    
No   
NA

What was your total company sales volume in the past year?*
(This data used for statistical purposes only and will NOT be published.)
Total Sales:$

100K to 300K
300K to 500K
500K to 1 Million
1to 5 Million
5 to 10 Million

How are your company's sales generated?*
Paving (includes repairs, reclamation and recycling)
%
Sealcoating
%
Striping/Marking                          
%
Sweeping                              
%
Snowplowing                       
%
Landscape Maintenance                     
%
Landscape Construction                    
%
Other                                 
%
............100...................%...........Total

Percent of Sales Typically Spent On Advertisement?

1-5 %
5-7 %
7-10 %
10-20 %
Over 20%

How many people does your company employ?

1-5
5-50
50-250
250-500
500-1500
Over 1500

How many years has your company been in business?

1st Year
1-3 years
3-5 years
5-10 years
over 10 years

What percentage of your overall business do each of the following
customer groups represent?

Commercial and Industrial Owners
%
Residential Owners
%
Government 
%
Other 
%
............100....................%...........Total

Where do you have your equipment and tools serviced?

In house
Outside Service Center
Dealer/Distributor
Does Not Apply

Where do you purchase your equipment, tools and parts from?

Manufacturer
Dealer/Distributor
After Market & Third Party Venders
Does Not Apply

New Internet technology (eCommerce & Online Catalogs), gives customers the ability to browse online catalogs and inventories, cross reference parts and purchase while online.  These applications even remember customer billing and order information, making it a snap to re-order 24x7x365. 

Do you presently order your tools, equipment & parts online?
Yes

If you answered Yes, What sites do you use & our you satisfied with their service?

No

If no, why not?

What products would you like to be able to purchase online.  Please give us as much detail as you can; manufacturer, part no, etc?

Which kind of Sweeper does your company use (select all that apply)? Does Not Apply Elgin How many sweepers does your company have?   Would you purchase from this manufacturer again? Schwarze How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? Tymco How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? Johnston How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? FMC Vanguard How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? Mobil How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? Other, please list: How many sweepers does your company have? Would you purchase from this manufacturer again, and why or why not? Which kind of Snow plows does your company own/use the most (select all that apply)? Does Not Apply Western How many snow plows does your company have?   Would you purchase from this manufacturer again? Meyer How many snow plows does your company have? Would you purchase from this manufacturer again, and why or why not? Fisher How many snow plows does your company have? Would you purchase from this manufacturer again, and why or why not? Other, please list: How many snow plows does your company have? Would you purchase from this manufacturer again, and why or why not? Which kind of Salt Spreader does your company use (select all that apply)? Does Not Apply Western How many salt spreader does your company have?   Would you purchase from this manufacturer again? Meyer How many salt spreader does your company have? Would you purchase from this manufacturer again, and why or why not? Fisher How many salt spreader does your company have? Would you purchase from this manufacturer again, and why or why not? Other, please list: How many salt spreader does your company have? Would you purchase from this manufacturer again, and why or why not?

Do you carry Liability Insurance (& Have a Certificate To Prove It)?
Yes    
No   
NA

Are you a member of any trade organizations (i.e. S.I.M.A. Snow and Ice Management Association, CSI) or any other professional association?
Yes, please list some below:  


No
NA

Online Needs
What type of online information & resources are you interested in, what are you hoping to find at PavementMaintenanceOnline.com? *

Looking to purchase equipment (sweepers, tractor, plow, dump truck, etc)
Looking to purchase tools & misc. equipment
Interest in researching; leasing, financing, & insurance companies 
Aftermarket supplies, parts & equipment
Increasing sales & industry networking 
Other, please explain:

What type of online services are you interested in? *

Work Order Fulfillment (Receiving & Tracking Work Orders Online)
Preferred Contractor Networking (Contract Networking)
Online RFP Downloading & Biding (Receiving Job Leads & RFP's Online)
Other please explain

What electronic publications or online resources (websites) do you use to find industry related information and what in particular do you like or dislike about  them? *

Online Resource/Website	Like	Dislike

Which pavement maintenance industry magazines/newsletters do you currently advertise in?

Current Online Resources & Needs

Does your business currently advertise online?

Yes
No

If you do currently advertise online, where do you advertise and has it been helpful?

If you do not advertise online please explain why not?

Business Doesn't need to advertise online
Do not see the value in online advertisement
Do not know enough about it or where to begin

Are you interested in finding out how PMO can customize an online advertisement campaign for you? (Business Directory Listings, Product Overview Pages, Online Brochure, Website and email link as well as your own private Classified & Forum Pages). 

Yes. please have a consultant contact me
No, not at this time but keep me informed of your advertisement & business services
No

Does your business currently have an Internet Access account (access to the Internet)?

Yes
No

If Yes, What Type Of Internet Access
Dialup
DSL
Satellite
NA

Are you satisfied with your current access provider?

Yes
No

If your business is currently online (has an active website address)?
Yes
No

If you answered yes to the question above what are your online goals, otherwise just leave blank?

If your business is currently not online, why not?

Do You Have Plans To Develop A Company Website?

Yes, within the next 2-3 months
Yes, within the next 4-6 months
No, not interested
No, does not apply to my business

Are You Interested In Finding Out More About How The Internet Can Help Your Business

Yes, please have an Internet consultant contact me
No
NA

If you answered Yes above, what are some of your online goals & needs?

Thanks again for taking the time to become a member and make PavementMaintenanceOnline.com a better resource for all your Pavement Maintenance needs.