Baseline - Free subscription form

FREE SUBSCRIPTION APPLICATION

A complimentary one-year subscription is available upon qualification and availability. You must answer all the questions. The Publisher reserves the right to limit the number of FREE subscriptions.

Residents outside the U.S. and Canada may complete this form to qualify for the digital version only. Click "Yes" for digital when asked which version below. Non-residents of the U.S. or Canada and non-qualified applicants may receive a paid subscription to the print version of the magazine: click here. Thank You.

You may also take this opportunity to subscribe/renew your subscription to:

CIO Insight is the awarding-winning business journal of record for today's senior IT decision-makers. Every month, CIO Insight provides subscribers with cutting-edge IT business strategies, management techniques, case studies, proprietary research/analysis and actionable tools.
CIO Insight is designed to help IT decision-makers achieve success.

BUSINESS ADDRESS
The information below must be filled out. Asterisk (*) denotes required field.

First Name:

Last Name:

Title:	*
Company:	*
Company Address:	*
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State/Province:	* Zip/Postal Code: *
Country:	*

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Business Telephone:

Business Fax:

QUALIFICATION FORM
Please answer all of the following questions:

I wish to receive/continue to receive Baseline FREE.	Yes No
I wish to receive/continue to receive CIO INSIGHT FREE.	Yes No

PERSONAL IDENTIFIER: Required BPA Audit Verification. In lieu of a signature, we must ask a simple personal identifier. To verify that you submitted this application and the following answers are correct please answer the following question:

How many siblings do you have?

1.	Do you authorize, recommend, evaluate and/or specify IT solutions, products and/or services for your organization?
Yes No

2.	Which of the following best describes your primary job title? (Select one)

IT MANAGEMENT
	CIO
	CTO
	CSO/CISO/Chief Technical Architect
*Exec VP/Sr VP/VP of:*
	IS/IT/MIS
	Networking/Communications
	E-Business/E-Commerce/Finance
	Operations/Security/Quality Assurance
	Engineering/Systems/Product Dev./R&D
	Software/Application Development
	Web Development
	Other Exec VP/Sr VP/VP (please specify):
*Director/Sr Mgr/Head of:*
	IS/IT/MIS
	Networking/Communications
	E-Business/E-Commerce/Finance
	Operations/Security/Quality Assurance
	Engineering/Systems/Product Dev./R&D
	Software/Application Development
	Web Development
	Other Director/Sr Mgr (please specify):
	Internet Tech Consultant/Analyst
	Other IT Management (please specify):

CORPORATE MANAGEMENT
	CEO/COO/CFO
	President/Owner/Chairman/Partner
	Sr. Executive VP/VP/General Manager
*Exec VP/Sr VP/VP of:*
	Finance/Accounting
	Engineering/Manufacturing/R&D
	Purchasing/Marketing/Sales

	Director/Sr Mgr/Head Corporate Management
	Financial/Business Consultant Analyst
	Other Corp Management (please specify):

	Other (please specify):

3.	Which of the following best describes your company’s primary business? (Select one)

NON-COMPUTER INDUSTRY
	Manufacturing (non-computer)	Retail (non-computer)
	Finance/Banking/Accounting/Venture Capitalist	Wholesale/Distribution (non-computer)
	Insurance/Real Estate/Legal	Transportation (highway, air, railroad, maritime)
	Federal Government	Mining/Energy/Utilities/Refineries
	State and Local Government	Engineering/Architecture/Construction
	Aerospace/Defense/Military	Tourism/Travel/Hotel/Restaurant Services
	Healthcare/HMO/Hospital/Medical	Entertainment/Publishing/Broadcasting
	Pharmaceuticals/Biotech/Agricultural/Life Sciences	Marketing/Advertising/Public Relations
	Education: K-12	Non-Profit/Trade Association/R&D
	Education: College/University/Cont Ed	Business Services/Consultancy
COMPUTER RELATED INDUSTRY
	Computer Manufacturing	Computer/Network Services Consultancy
	Computer Retail	ISP/ASP/Communications Carrier
	Computer Wholesale/Distribution	Independent Web/Software Developer or Vendor
	Telecommunications/Network Service Provider	E-Commerce/E-Business Integrator or Provider
	System/Network Integrator or Provider/VAR	Security/Storage Provider/SAN Management
	Data Processing Services/Outsourcing	Other (please specify):

4.	Do you resell IT products and services? (Select one)
Yes No

5.	Baseline is now available in a digital format - it is an exact replica of the print version delivered right to your desktop with powerful enhancements that allow you to search, save, archive, and get your issues sooner. In which format would you like to receive Baseline?
Print Digital

6.	CIO Insight is now available in a digital format - it is an exact replica of the print version delivered right to your desktop with powerful enhancements that allow you to search, save, archive, and get your issues sooner. In which format would you like to receive CIO Insight?
Print Digital

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