2006 Product of the Year / Entry form

12/21/2005


Entry deadline is 5:00 PM CDT, September 8, 2006

Entry No.__________

Product name:_________________________Date introduced: _______________
Manufacturer:_____________________________________________________
Web site:_____________________________________________________
Division/subsidiary/product group:_________________________________________________
Company web site where additional product information is located:_____________

Generic product description:__________________________________________
Significant features of this product:____________________________________
_________________________________________________________________
_________________________________________________________________

Entry Category - Check Only One (Judges reserve the right to reclassify):

( ) Electrical Power
( ) Electric Motors, Drives, & Controls
( ) Lighting
( ) Construction, Buildings, & Grounds
( ) Fluid Handling
( ) Compressed Air
( ) HVAC
( ) Power Transmission
( ) Training Products
( ) Maintenance Tools & Equipment
( ) Maintenance Products
( ) Environment, Safety, & Health
( ) Automation & Control
( ) Manual Material Handling
( ) Instrumentation
( ) Productivity Software
( ) Maintenance Software
( )


The following supporting materials MUST accompany this form:
( ) Entry fee of U.S.$195.00 (Credit cards accepted, call for instructions. Make checks payable to PLANT ENGINEERING. Do not send cash.)
( ) Photo or other product illustration suitable for publication (color preferred, CD media preferred)
( ) Descriptive information (such as brochures, data sheets, news releases, etc.)

Person to receive all correspondence regarding this entry:
Name:_____________________________Title:_______________________
Company:_______________________________________________________
Division:________________________________________________________
Address:________________________________________________________
City, State, Zip:______________________________
____________________________________________
Phone:____________ Fax:_____________ E-mail:_______________

Person to receive inquiries from PLANT ENGINEERING readers:
Name:_____________________________Title:________________________
Company:_______________________________________________________
Address:_________________________________________________________
City, State, Zip:_____________________________
__________________________________________
Phone:___________ Fax:______________E-mail:_______________

REQUIRED SIGNATURE (must be signed by an authorized representative): I have read the official rules and attest that this entry complies in every regard. I certify that this is a NEW product, first available for purchase between October 1, 2005 and September 30, 2006, and that all information provided regarding this entry is true and correct. I understand that providing misleading or false information will result in the disqualification of this entry.

__________________ __________________ ___________________
Signature Title Date

Send Entry Fee and all materials to:
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