FAX Registration WebCD BoilerspecTM Welcome to your new WebCD BoilerspecTM CD, a tool for specifying the best boilers in the world. FAX REGISTRATION INSTRUCTIONS Please "Print" out this page, and then use your browsers "Back" button to return to WebCD BoilerspecTM. Please fill in ALL entries. Remember to FAX this document to (414) 577-2715 when you are done. (Please Note: By Faxing in your registration you will be identified as a WebCD BoilerspecTM user but you still would not be able to Login online and utilize the advanced functionality. Remember to to Logon and re-register to take advantage of the full funtionality of WebCD BoilerspecTM). In order to better serve your needs and most importantly to be able to store your specifications/work for later recall, modification or printing you MUST register your WebCD BoilerspecTM online. Once online you then will be able to select your PERSONAL Login name, password and a reminder phrase. (Please use less than 30 characters, this feature is designed to help you remember your login name or password. You will need these in the future to be able to save and retrieve your specifications from the database. (Consider saving them in a secure place). If you have any problems or questions, please contact your local Cleaver-Brooks Representative. Please note: Most fields are REQUIRED. Please fill in all possible fields Name: Title: Telephone Number: (with country code) E-Mail: (for our use only) WebSite: Firm Name: Type of Company Contractor - Mechanical Contractor - HVAC Engineering Firm - Consulting Engineering Firm - Specifying Architect Facilities Management Other Mailing Address: City: State/Province: Postal/Zip Code: Country: Do you currently have a Boiler Book? Yes No Would you like to receive electronic announcements/updates/changes from Cleaver-Brooks? Yes No List Types of products you specify Flextube/Bent Tube Cast Iron Coil Tube Commercial Water Tube Copper Fin Tube Modular Direct Fired Water Heater Electric Feedwater Equipment Firebox Firetube Fully Condensing, High Efficiency Modular Hot Oil Heaters Industrial Watertube Vertical Tubeless Water Treatment What other technologies are you specifying in lieu of commercial and industrial boilers? Percentage of boilers specified? (Please estimate a percentage) High Pressure Steam( >15 psi): Low Pressure Steam (15 psi): Hot Water: Select the industries you are typically involved with: Agriculture Chemicals Commercial Buildings Corrugating/Packaging Electronics Food/Beverages Forest Products Government Health Care Heavy Machinery Military Performance Contracting Petro-Chemicals Pharmaceuticals Schools Sewage Steel/Wire Textiles Transportation What are you specifying most of the boiler equipment for? (Please estimate a percentage) Process: Heating: Combination of both: What brands of boiler room products appear in your specifications? Thank you for registering your WebCD BoilerspecTM! Everything you need to know about the best boiler room equipment in the business is right here. After you've had a chance to use WebCD BoilerspecTM, please contact your local Cleaver-Brooks representative with your feedback, comments and ideas for improvement! Please visit our web-site at http://www.cleaver-brooks.com. Remember, please FAX this document to (414) 577-2715. Copyright © 1998 Cleaver-Brooks. All Rights Reserved. The BoilerspecTM CD is intended for use by qualified engineering professionals. All information contained herein is subject to change without notice. Cleaver-Brooks is only responsible for the accuracy of the information and data presented at the time of publication. Cleaver-Brooks is not responsible for the use of this data or information nor for any systems, designs, or engineering in which the data or information is utilized.