January 2012

Engineering Survey

Get your firm on the 2011 roster by filling out the form below.

Deadline: Friday, October 21, 2011

Denotes required item.

Company Information
Company
Address
City
State / Province
Zip / Postal Code
Country
Phone
Fax
E-mail Address
Type of Firm (please select one)
Specifiy Other Firm Type
Other Company Information
Number of Personnel in Trenchless Design:
Total Trenchless Billings for 2010 (or last fiscal year) $:
Trenchless Billings as Percentage of Company's Total Billings %:
Total Company Billings for 2010 (or last fiscal year) $:
Number of Trenchless Projects in the last five years (2005-2010)
Trenchless Methods Used (Indicate the number of projects completed in each area in the last year):
auger boring
horizontal directional drilling
microtunneling
pipe jacking
pipe bursting
pipeline rehabilitation
sanitary sewer evaluation studies
subsurface utility engineering
utility tunneling
other
Other Details
Name and Title of person completing this form:
Phone number of above person:
Please give a brief company profile:

Notable Trenchless Projects (Name, Type of Application, Footage, Diameter, Date, etc.):

Any Additional Comments

Security Test
____ ___ ____ _ _ __ _____ \| __ ) ( _ ) \|___ \ \| \|\| \| / /_ \|___ \| \| _ \ / _ \ __) \| \| \|\| \|_ \| '_ \ / / \| \|_) \| \| (_) \| / __/ \|__ _\| \| (_) \| / / \|____/ \___/ \|_____\| \|_\| \___/ /_/ Please type the letters and numbers you see above in the field below: