HP Works Picture Success Sweepstakes

1. If you get lucky, where shall we send your prize? (U.S. residents ONLY)

First name *
Last name *
Company *
Mailing address *
Suite/building
City *
State *	-- State -- AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming
ZIP *
Phone number *
E-mail address *

2. What is your job category?*

-- Job category -- Administration Facilities management Finance/operations Information technology Owner/principal Purchasing Sales/marketing Other

3. What industry is your business in?*

-- Industry -- Education Retail Manufacturing Health care Advertising/marketing Financial/accounting Government Transportation/utilities Real estate Wholesale Legal Insurance Other

4. Approximately how many employees work at your company worldwide?*

-- Number of employess -- <10 employees 10-99 employees 100-499 employees 500-999 employees >1000 employees Other

5. What role do you play in purchasing print supplies (ink/toner cartridges and paper)?*

-- Purchasing role -- Decision maker Influencer Not involved

6. Approximately how much do you spend on print supplies (ink/toner cartridges and paper) annually?*

-- Print supplies cost -- <$500 $1,000-$4,999 $5,000-$9,999 $10,000-$24,999 $25,000-$49,999 >$50,000

7. What kind of paper sample would you most like to receive from HP Works in the future?
(Please choose one.)

LaserJet—HP everyday papers
LaserJet—HP specialty papers
Inkjet—HP everyday papers
Inkjet—HP specialty papers

8. If you would like to receive additional information from HP (product, event, service/support, and special offers info), please indicate whether we may contact you by email: *