|
FREE Subscription Form
If you have a Priority Code, please enter it here: If you do not have a Priority Code, leave this field blank.
BUSINESS ADDRESS (Required)
denotes a required field in this business address block.
Questions must be completed in order to process your subscription.
A. What is your primary activity?
(check only ONE)
B. What term best describes your job function?
(check ONE only)
| C. |
Are you involved in identifying or evaluating the need for products, recommending or specifying products, or authorizing or approving the purchases of products at your organization? |
D. Which of the following types of products will you be evaluating/considering for purchase?
E. On average, how many media projects does your department/facility produce per year?
01 More than 30
02 16-30
03 6-15
04 1-5
F. On average, how much do you spend in media products per year?
01 $500,000 to $1,000,000
02 $250,000 to $499,999
03 $100,000 to $249,999
04 $50,000 to $99,999
05 $1 to $49,999
G. What other magazines do you subscribe to?
H. Would you like to subscribe to the dynamic media e-newsletters for free?
(check all publications you want to receive)
Personal Identifier
Audit Verification (Required)
In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the color of your eyes.
What color are your eyes?
*Publishers reserve the right to retract free subscription offers.
|