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WHAT IS YOUR MOTHER'S MAIDEN NAME?
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WHAT WAS YOUR FAVORITE PLACE TO VISIT AS A CHILD?
WHO IS YOUR FAVORITE ACTOR, MUSICIAN, OR ARTIST?
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WHAT STREET DID YOU GROW UP ON?
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Mozambique
Myanmar
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Netherlands
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New Caledonia
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Nigeria
Niue
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
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Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
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City
State/Province
Required
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
Zip
Phone
Phone Extension
Manufacturer
Required
Yes
No
Include in Correspondence
Yes
No
Display on APL site
Yes
No
Manufacturer Name
Required
Select Manufacturer
Other
360 Network Solutions, LLC
3M Bondo
3M Company
A W Cook Cement Products
Access Products Inc
ACF Environmental
Acme Barricades
Activu Corp.
ADA Solutions
Adaptive Micro Systems, LLC
ADDCO
Adhesives Technology Corp.
ADS Pipe
Advance Traffic Markings
Advanced Drainage Systems, Inc.
Advanced Roadway Manufacturing
Advantage Tactile Systems, Inc.
Aerosmith Fastening Systems/ Anchor Division
Aexcel Corp
Airlite
Alcatel-Lucent Enterprise
Alcatel-Lucent Enterprise (ALE USA)
All Traffic Solutions
Allied Telesis Inc
Allied Tube & Conduit
Allmand Bros
A-Lok Products Inc
ALPHA SafeNet
Alpha Technologies
American Electric (Acuity Brands)
American Excelsior Company
American Highway (A Simplex Company)
American Molded Plastic, Inc.
American Polymer Company
American Signal Company
American Spacer Technologies, Inc
Anita Plastics, Inc.
Antaira Technologies, LLC
APC by Schneider Electric
Apex Universal Inc.
Apollo Metro Solutions Inc.
Applied Concepts, Inc. dba Stalker Radar
ARGOS USA
Arkema - Road Science
Armorcast Products Company
Artuk Inc.
ASCO Power Technologies, L.P.
Asphalt Paving Systems, Inc.
Associated Asphalt Cape Canaveral
Associated Asphalt Jacksonville
Associated Asphalt Jacksonville TM
Associated Asphalt Lake City, (formaly Mariani Asphalt/ Lake City)
Associated Asphalt Port Everglades
Associated Asphalt Port Manatee
Associated Asphalt Savannah EP
Associated Asphalt Savannah, LLC
Associated Asphalt Tampa, (formaly Mariani Asphalt/Tampa)
Atkore International
Atlantic Paving Co., Inc.
August Gahringer GmbH & Co KG
AVCOMM Technologies Inc.
Avery Dennison Corp.
Axis Communications
B&B Roadway Security Solutions, B&BRSS
B+B SmartWorx
BarChip Inc.
Baroid IDP
Barsplice Products Inc
BASF C C Building Systems
BASF Corporation
Bastech, LLC
BCI Materials, Inc.
Beghelli/SESCO Lighting
Berry Global, Inc.
Blacklidge Emulsions/Greer
Blacklidge Emulsions/Gulfport
Blacklidge Emulsions/Pompano
Blacklidge Emulsions/Tampa #11
Blacklidge Emulsions/Tampa #3
Blue-Band
BLYNCSY
Bob's Barricades, Inc
BoMetals, Inc.
Bone Safety Signs
Bosch Security Systems, Inc.
Boschung America
BOSTD AMERICA
Brifen USA, USA
Brite-line Technologies, LLC.
BTU Research
Burndy LLC
Campbell Scientific
Carboline Company
Carbon Limit
Cargill
Carmanah Technologies Corp.
Carolina High Mast, Inc.
CARTHAGE MILLS
CEMEX Admix USA, LLC
Channell Commercial Corporation
ChemMasters
Chemoran
ChemSystems Inc
Chicago Heights Steel
CHRYSO Inc
Cisco Systems, Inc.
Citel, Inc.
CIVETEA
CivicSmart, Inc.
Clary Corporation
Cloudastructure
CLS-North Star Lighting
CMC Construction Services
CMT Highway LLC
CoBalt Coupler Systems
Commodity Plus Lighting Solutions
Communication Networks
Component Products, Inc.
Composite Access Products, LP
Construction Materials
Contech Engineered Solutions, LLC
Control Technologies
Cooper Crouse-Hinds MTL (formerly Atlantic Scientific)
Cooper Lighting Solutions
Core Tec Communications, LLC
CornerStone Wall Solutions Inc.
Cortec Corporation
Cortina Safety Products
Cost Cast, Inc.
CostarHD
Crafco Inc
CREE, Inc.
Crown Technology LLC
Crown USA, Inc.
CSL Silicones Inc.
CTY, Inc d/b/a Numina
Cubic ITS, Inc. (Gridsmart)
Cubic ITS, Inc. (Trafficware)
Currux Vision LLC
CWR Contracting, Inc.
D & R Electronics Ltd
D.S. Brown Company
Daktronics, Inc.
DarCole Products, Inc.
Dayton Superior Corp
Dayton Superior Corp. (Accessories)
DDD Erosion Control
DeAngelo Contracting Services
Deltrol Controls
Derq USA, Inc
Detectable Warning Systems
DEWALT (Formerly Power Fasteners Inc)
Dialight Corporation
Diamond Traffic Products
Dicke Tool Co
Digi International
DITEK
Dow Chemical Company, The
Durant Performance Coatings
Eagle Eye Products
Earth Wall Products
Easi-Set Worldwide
East Coast Erosion Control
Eastern Metal of Elmira, Inc.
Eberle Design Inc.
E-Bond Epoxies, Inc.
Econolite
Eden Innovations, LLC
Electrotechnics Corporation dba ELTEC
Emeca SPE, USA
Empco Lite
Enclose Manufacturing
Energy Harness Corporation
Energy Lite, a Solais Group Brand
Engineered Plastics
Ennis-Flint, Inc (formerly Flint Trading Inc)
Ennis-Flint, Inc, (formerly Ennis Paint, Inc. dba Ennis-Flint)
Epoplex
ERECT-A-LINE
Ergon Asphalt /Garden City
Ergon Asphalt and Emulsions/Tampa
Ergon Terminaling/Mulga
ERICO International Corporation
Erosion Control Blanket.com
EtherWAN Systems
EtherWan Systems Inc.
EVR International
Excellence Opto. Inc.
Extreme Networks
FDOT Statewide Aluminum Shop
Fibrecrete Preservation Technologies
Five Star Products, Inc.
Flexstake Inc
FLIR ITS (Traficon)
FORTA Corporation
Forterra BP
Fortran Traffic Systems
Foundation Geotextiles
Franklin Industries
Freedom ROC Industries (Distributor for RaynGuard Protective Materials)
Frey Manufacturing Corp.
Friendly Environmental
Fritz-Pak Corporation
Fuchs Lubricants Co.
GAF
Gardner Asphalt Supply, LLC
GCP Applied Technologies Inc.
GE Current
General Technologies, Inc.
General Traffic Equipment Corporation
Gentem Inc
Geveko Markings Inc
Gibralter Cable Barrier Systems, LP
Glasmasters, Inc.
Global Traffic Technologies, LLC
GovComm, Inc.
Gregory Industries
Grid Shift Solutions
Gridsmart Tech
Gro-Green Solutions of Georgia, LLC.
Ground Improvement Systems, LLC
H.B Fuller Construction Products
Hamilton Kent LLC
Hanes Geo Components
Headed Reinforcement Corporation
Henry Company
HESCO/RLS
Highway Safety Products
Highway Safety Specialist
Highway Technologies
Hill & Smith Inc.
Hilti Inc
Hirschmann
Holophane Lighting
Horizon Signal Technologies, Inc.
Houston Radar, LLC.
Huesker
Hunt Process Co
Hunt Refining / Zenith
Hunt Refining/Bainbridge
Hunt Refining/Chickasaw
Hunt Refining/Perry
Image Sensing Systems (formerly EIS)
Impact Recovery Systems
IMRAE Corporation
Indiana Soybean Alliance
Industrial Fabrics, Inc.
Ingevity
Inland Concrete Products
Innophos
Intercomp
International Coastal Revetment Products
International Road Dynamics, Inc. (IRD)
IPsens, LLC
Iteris, Inc.
ITS Express
ITS Plus, Inc.
ITW Commercial Construction North America
ITW-LINX
Jan Lighting Solutions
JBC Safety Plastic Inc
John Thomas, Inc.
Jupiter Systems
K&K Systems,Inc.
KAO Specialties Americas
Kaufman Products Inc
Keystone Retaining Wall Systems, LLC.
Kistler Instrument Corp.
Korman Signs, Inc.
Krete Industries, Inc.
KreteTek Industries
L&M Supply Company, Inc.
LADTECH, INC.
Lakeside Plastics, Inc.
Lambert Corp
Lanelight Traffic Technologies, Inc.
Lantronix (formerly Transition Networks)
Laura Metaal Road Safety Inc.
LED Roadway Lighting
Ledstar Inc.
Leetron Vision LLC
Lehigh Technologies
LEOTEK ELECTRONICS USA LLC
LifeSupplyUSA
Lindsay Transportation Solutions/Barrier Systems
LiteSys, Inc.
Living Shoreline Solutions Inc.
Lonestar Industrial Materials
Lumca
Lumecon
Lux Solar, Inc.
M.H. Corbin, LLC
Mageba USA
MagniFlood
MAPEI Corporation
Marathon Petroleum/Garyville
Marathon Petroleum/Tampa
MarMac Construction Products Company
Martin Asphalt Company
Martin Enterprises
Master Builders Solutions US LLC
Matrix Construction Products, LLC
Maxwell Products, Inc.
McCain Sales of Florida, Inc dba Universal Signs & Accessories
McCain, Inc.
McMasters Concrete Products
MDI
Meadow Burke
Meter-Treater (dba MTI Surge)
MG-Squared Inc.
Microcom Design, Inc.
Mid-Park Highway
Miovision Technologies, Inc.
Mobile Barriers LLC
MoboTrex (formally Brown Traffic Products, Inc. (formally Siemens and Eagle))
Mondo Polymer Technologies
Morningstar Corporation
MOTPlans.com, LLC
MOXA
MPH Industries www.mphindustries.com [Sale of products prohibited after 5/1/2012]
MS Sedco
Multilink, Inc.
Multisigns & Road Safety LLC
Mutual Industries
Mutual Industries (Link Bridge, Co. LTD)
Navtech Radar Limited
Neenah Foundry Company
Neptun Light, Inc.
Niagara Global Inc.
Nippon Carbide Industries
North America Traffic, Inc.
North American Green
Noslo Industries LLC.
NoTraffic
Nouryon
Nucor Steel Sedalia
O Dowel
OCM, Incorporated
Oldcastle Coastal
Oldcastle Infrastructure
Omnisight
ORAFOL Americas Inc.
Orange Traffic
Oriux (formerly Peek Traffic)
OTT Hydromet
Owens Corning Trumbull Asphalt
Ozark Materials LLC
P & T Products
Pac-Tec Inc, Ray O Lite Div.
Panasonic iPro
Pattern Paving Products
Pavement Surface Coatings, LLC
Paveway Systems, Inc.
Pecora Corp.
PedRail Systems, LLC
PedSafety, a Campbell Company
Peek Traffic
Pelco Products, Inc.
Pelco, A Motorola Solutions Company
Pencell Plastics, Inc. (Division of Hubbell)
Penetron USA
Pepperl+Fuchs, Inc.
Pexco, LLC
Phoscrete Corporation
Pilgrim Permocoat, Inc.
Pinova Inc
Plasticade
PM Casting Ltd - Traffic Hardware + Design
Polara Enterprises, LLC
Poly Asphalt, Inc.
Polylok, Inc
Poly-Tuff Systems International
Potters Industries
Power Distribution & Control (PDC)
PPG Protective & Marine Coatings
Preform LLC
Premier Construction Product Group
Premiere Concrete Admixtures
Press Seal Corporation
Pride Enterprises dba Baker Paint
Propex Operating Company, LLC
PSS (formerly Plastic Safety Systems, Inc).
PurusNA Ecoraster Inc.
Q-Free America, Inc.
Quazite (Division of Hubbell)
QUIKRETE Companies
Qwick Kurb Inc
Radarsign, LLC
Red Lion Controls
Reinforced Earth Company
Reno A&E
RHINO Global Company, LLC
Rhythm Engineering
RimRiser
RJ Watson, Inc.
Road Systems Inc
Rolanka International. Inc.
Royal Adhesives & Sealants Canada Ltd, an H.B. Fuller company
RTC Manufacturing, Inc.
RUSSTECH, INC.
Rustech International Holdings LLC
Ryan Richetti
s.m.s, smart microwave sensors GmbH
Safety Base Ltd
Safety Products Inc
Safety Step TD, Inc
Safety Technologies
Safety Zone Holdings, Inc. (DBA Safety Zone Specialists)
Schreder Lighting
Sea & Shoreline Aquatic Restoration
Sensys Networks, Inc.
Sentinel Transportation Systems LLC
Sentry Barricades
SES America, Inc.
SESA Technologies
Sherwin Williams Co
SHUR-TITE Products
Sicom Industries USA LLC
Siemens Canada Limited (formally RuggedCom)
Sighthound, Inc.
Signal Safe, Inc.
Signify North America Corporation
Signs and Safety Equipment, Inc.
Sika Corporation
Sika Corporation - Admixtures
Silt Saver Inc.
Simpson Strong-Tie Co
SINAK
Sinwaves, Inc. DBA LYT
Siplast
Site 2020, Inc.
SKAPS Industries
Skidabrader Group, LLC
Sky Bracket
Skyline Products
Solar Technology Inc.
SolarMarkers, Co.
SolarMax LED, Inc.
South Florida Materials / Ft. Lauderdale
South Florida Materials / Riviera Beach
Southeast Lighting & Design
Southern Mfg. Co. (Division of Earnest Products)
SpecChem
SpecGrade LED
Specialty Emulsions, Inc.
Specification Products
Speed Spots
SPIG Industry LLC
Spillman Company
Splice Sleeve North America
SSL LLC
STC, Inc.
Steelike, Inc.
STEICO
Stellux LED LLC
Stone Strong, LLC
Strata Systems
StressCrete - King Luminaire
Structural Technologies
Struthers-Dunn, LLC
Super-Crete Systems
Surface Tech
SW Highway
Swarco Industries Inc
Synergy Technology, LLC
Synteen Technical Fabrics, Inc.
TAPCO
TAPE 4, LLC
TechPower Developments
Telegra, Inc.
Temple, Inc.
Tenax Corporation
TenCate Geosynthetics
Tensar International Corporation
Terram Geosynthetics Pvt. Ltd.
Tesco Controls Inc.
Tex-Cote LLC
The Euclid Chemical Co.
The Trenton Corporation
Thompson Lightning Protection, Inc.
Three D Traffic Works Inc
TKH Security LLC (Formerly SIQURA Inc)
TM USA Inc D.B.A. AC DOB USA
Tnemec
Tomar Electronics, Inc.
TopShell LLC
Total Highway Maintenance, LLC
Trafcon Industries, Inc.
Traffic Control Products
Traffic Logix Corp
Traffic Safety Corp.
Trafficalm Systems
Traffix Devices Inc
TransCore
Transpo Industries Inc
Transportation Control Systems (TCS)
Transportation Solutions & Lighting, Inc.
Transtector
TraStar, Inc.
Trelleborg Pipe Seals Milford, Inc.
Tremco CPG Inc.
Tricon Precast Ltd
Trinity Construction Products
Truly Green Solutions
TufTile, Inc.
UAT LLC
Ubicquia Inc.
UltraTech International Inc.
Unigel, Inc.
Unipart Dorman (formerly Dorman Varitext)
Unitex, by Dayton Superior
Universal Polymer & Rubber
US Fabrics
US Mix Co.
Utilicor Technologies Inc
Valitus Technologies. Inc.
Valtir, LLC
Verdegro USA LLC
Ver-Mac
Versilis
Vertex, Inc. (formally Hail Mary Rubber Co)
Vinyl Fence Wholesaler
Visionaire Lighting LLC
Vist-A-Wall Systems
Volta Energy Products (a Division of Viridi Parente, Inc.)
W R Meadows, Inc.
W Z Equipment Inc
W.W. Grainger
Wanco, Inc.
Watson Bowman Acme Corp
Wavetronix, LLC
Western Excelsior
Whitaker Contracting
Willacoochee Industrial Fabrics, Inc.
Wireless Technology Inc.
Yunex Traffic, a Siemens Business
ZICLA
ZincFive, Inc.
Zydex Industries
New Manufacturer
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Address Line 2
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United States
Canada
Mexico
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
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