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Company Participation Registration Form

Please complete the following information and submit this form. Once the Best Companies Group receives this form, the primary contact will be sent a confirmation email and detailed information about the survey process.

* required fields!

Company Name/Trade Name:
(Name as it should appear in print)
*
Legal Name of the Company:
(If different than listed above)
Federal Employer Identification Number (FEIN/Business Number): *
Mailing Address:
(No home addresses)
*
City:
*
County: *
State/Province: *
Zip/Postal Code: *
Company Web Site URL: *
Industry: Please hold the control or command key to make multiple selections.
*
*** A “association” is any group organized to support the plastics industry by providing services that are used by companies involved in any number of different plastics manufacturing
Industry if Other: *

Primary Contact (This person will be the main contact for questions throughout the entire process and the recipient of all communications (via emails, phone and letters), employee surveys for distribution, feedback reports, etc.)
Salutation: *
First Name: *
Last Name: *
Title: *
Mailing Address:
(No home addresses)
*
City: *
State/Province: *
Zip/Postal Code: *
Direct Dial Phone Number:
(No home or cell phones please)
*
Fax Number: *
Email Address: *

Secondary Contact (This person will be the contact for questions if the primary contact is unavailable.)
Salutation:
Name:
Title:
Direct Dial Phone Number:
(No home or cell phones please)
Email Address:

CEO, President, Manager, Etc. (Highest-ranking position of the nominated workplace.)
Salutation:
Name:
Title:
Mailing Address:
(No home addresses)
City:
State/Province:
Zip/Postal Code:
Direct Dial Phone Number:
(No home or cell phones please)
Email Address:

IT Contact (This person will be the contact for any technical systems questions regarding online surveys - for all employer questionnaires and online surveys for employees - regarding filtering, spam content, white-listing, etc.)
Salutation: *
Name: *
Title: *
Direct Dial Phone Number:
(No home or cell phones please)
*
Email Address:
*

Marketing/PR Contact (This person will handle any marketing and/or public relations questions for your company.)
Salutation: *
Name: *
Title: *
Direct Dial Phone Number:
(No home or cell phones please)
*
Fax Number: *
Email Address:
*

* Additional Company Information
Total number of employees in the United States and Canada (EXCLUDING temporary/seasonal and per diem employees).
Total Employees:
Full-time Employees:
Part-time Employees:
* Participation is Free (1)
Please select the corresponding amount of employees that your company has working in the U.S. and Canada (excluding temporary/seasonal and per diem employees). For paper surveys, the primary contact will be invoiced according to the size of the company for the paper survey method.
Number of
Employees
# Employees
Surveyed
Online
Fee
Paper Fee (1)
 
15 - 24 (2)
All
FREE
$230
25 - 99
All
FREE
$375
100 - 199
All
FREE
$505
200 - 499
Up to 250 (3)
FREE
$585
500 - 2499
350 (3)
FREE
$685
2500 +
400 (3)
FREE
$840

(1) A nominal non-refundable paper fee to cover the cost of printing, processing and shipping the paper surveys.
(2) Requirement: To ensure the credibility of the information, companies in having 15-24 employees must have an 80% (or better) response rate from their employees filling out the survey in order to be considered for the list.
(3) Employees are randomly selected. Best Companies Group offers the option to survey more employees than the random sample calculated in the above chart, and/or include additional employees in the survey process who work in locations outside of the program area. Please contact Best Companies Group for details and pricing.

* Employee Survey Type
Please verify the survey type you would like your employees to receive.
Free Online Survey (Electronic)
Paper Survey (Hard Copy)
There is a nominal participation fee to cover the costs associated with the paper surveying process (printing, processing and shipping the paper surveys).
Does your company need alternate
language surveys?
*
* We offer employee surveys in a variety of languages. Additional languages are available at $205 per survey translation. If you need alternate language surveys, please select this button and you will receive additional information.
 
If Other

Is your company interested in customizing the job role and department category demographics on the employee survey?

Yes, I am interested in receiving more information. There is a standard fee of $795 to customize. What is this?

Special Offer!
Purchase your Employee Feedback Report now and save 10% off the price.* This report details the results of your company’s specific survey results to each of the 78 survey questions. The report also includes industry benchmarking as well as the employee comments transcribed exactly as submitted by employees. Similar reports can cost thousands of dollars if initiated independently.

Number of
Employees in the US and Canada
Pre-survey Pricing (10% discount)
Regular Pricing
Savings
 
15 - 24
$720
$800
Save $80
25 - 99
$745
$830
Save $85
100 - 199
$845
$940
Save $95
200 - 499
$895
$995
Save $100
500 - 2499
$965
$1,070
Save $105
2500 +
$1,005
$1,115
Save $110

*After October 20, 2017, the reports go back to regular pricing.

 
Questionnaire
How did you hear about the program?
If Other

Please be aware that as part of the “Best" program, a certain threshold of employee survey responses must be received in order for the analysts to consider the survey data valid.  If a company does not meet this threshold, their full consideration for the “Best” list may be jeopardized, even resulting in elimination.  In the rare case a company’s response rate is extremely low, a statistically valid Employee Feedback Report (if purchased) will not be presented.
Name of person completing this registration form:
Your Name:
*
Your Title:
*
Your Email Address:
*
Are you authorized to enter your
company into this process:
*
Commitment:
* I understand that by clicking this submit button, our company is entered into the Best Places To Work Plastics program. I am committing to meet all deadlines and complete both portions of the assessment process. If at any point we choose to withdraw from the process, we will notify a representative of Best Companies Group at 1-877-455-2159 immediately. Companies withdrawing after October 20, 2017, will incur a $250 withdrawal fee in addition to the total fees incurred for any special requests (customization orders, language translations, paper survey processing, etc.). All fees are non refundable.

In order to submit this form, please input the verification code as listed below. Once the code is entered, please click the area outside the box in order for the submit button to become available. Please note that the page will time out if you have had the page open for an extended period of time. Should this occur, please print this page and fax to 717-412-7307 or email the form to CMiller@BestCompaniesGroup.com.

* Check the information you have entered, then click Submit

 


IMPORTANT: If any of the contact information changes at any point in the process, please notify Christopher Miller at CMiller@BestCompaniesGroup.com immediately.
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