All question types

To register for the panel, complete the following form.

Please note that this information is meant to verify your eligibility for the panel—we never sell your personal information and we protect your privacy at every step.

* Required fields


First Name *
Last Name *
Operation / Company Name *
Business Address 1 *
Business Address 2
City *
State *
Zip *

Company Email Address *

I don’t have a company email address

Alternate Email Address *

I don’t have an alternate email address

Which of the following email address is your preferred method of contact? This will also be the email address you will use to login to the Industry Influencer panel. *

Company Email

Alternate Email

Phone Number (with area code) *

Are you currently an active employee of the foodservice industry? *

Yes, I’m currently active

No, but I am actively seeking employment/re-employment in the foodservice industry

No, I have changed jobs and am no longer active in the foodservice industry

Which of the following best describes your operation? Select one. *

Which of the following best describes your current role or department description? *
















Create an account password.

(Password best practice is 8+ letters and should contain at least one number and special character)




Confirm password

Terms
The participating operator represents that all information provided by operator to Technomic is true and correct. If Technomic determines in its sole and absolute discretion that any information provided by operator is false, misleading or fraudulent in any way, then Technomic reserves the right in its sole and absolute discretion to terminate all panel memberships and other affiliations with Technomic, remove all points previously earned by operator, and such other measures as Technomic may seem appropriate. All panel terms can be found here.

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