Change of Address Form

Please complete the following form including the *required fields and press the submit button at the end of the page. This form must be filled out completely for your address change to be processed.

---

SUBSCRIPTION NUMBER FROM LABEL, IF AVAILABLE
*FORMER POSTAL/ZIP CODE
*FIRST NAME
*LAST NAME
JOB TITLE
COMPANY
DEPARTMENT
*NEW ADDRESS
*CITY
*STATE/PROVINCE
*ZIP/POSTAL CODE
*COUNTRY
PHONE
FAX
*E-MAIL

---

I would like to receive (continue to receive) FREE issues of Sea Technology magazine.

YES NO

Job Title

Please select the item below which best describes your current job title.

1.     Administrator, executive, owner

2.     Manager, department/division head, director, chief engineer

3.     Designer, engineer, scientist, professor, consultant

4.     Technician, operator, diver

5.     Buyer, marketing sales manager

Primary Activity

Please indicate the primary activity of your organization (select all that apply).

A.		Ship and base instrumentation, navigation, positioning, computers, data processing, communications, telemetry, optical, laboratory, sensors, samplers, recorders, etc
B.		Ships, underwater vehicles, structures and basic underwater materials
C.		Radar, sonar and detection systems
D.		Cable, rope, deck gear, marine hardware, electrical equipment, general machinery and equipment supplies
E.		Research, development or consulting
G.		Survey, exploration or mapping services
H.		Construction, diving or charter services
J.		Government, civilian employee
K.		Government, military personnel
L.		Educational institution, libraries
M.		Fishing, seafood processing
P.		Offshore petroleum, mineral recovery
R.		Environmental monitoring, pollution control
T.		Ports, harbors, homeland security

Auditing Bureau Question (Required)

In order to verify your subscription, our auditing bureau requires that we ask a personal identifying question. During the audit, a representative from our auditing company may contact you to verify the following answer. This information is used solely for the purpose of our audit and is required for your application to be complete. If you do not wish to answer either of these qualifying questions, you will need to print this form, sign and date it, and fax it to +1 (703) 841-0852 or mail it to our U.S. office.

*SELECT QUESTION:	--Select A Question-- At what company did you hold your first job? What was the name of the street on which you grew up?
*ANSWER:

---

Sea Technology is read worldwide in more than 110 countries by management, engineers, scientists and technical personnel working in industry, government and educational research institutions. Readers are involved with oceanographic research, fisheries management, offshore oil and gas exploration and production, undersea defense including antisubmarine warfare, ocean mining and commercial diving.