Collections & Credit Risk Free Subscription

	*Collections & Credit Risk* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Collections & Credit Risk*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA

1.	*Do you wish to receive a FREE subscription to Collections & Credit Risk?*

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First Name:
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Job Title:
Company Name:
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What is the approximate number of employees in your company? (select only one)

Yes, please auto-fill my contact information for other publication qualification forms.

2.	Please check your title: (select only one)

President/CEO/Chairman Collections Manager or Director

CFO/ Treasurer/Controller Analyst, Researcher

EVP/SVP/VP/CIO/Managing Director Accountant

Attorney/Law Partner Other (please specify)

Credit Manager or Director

3.	Please select the category which best describes your industry: (select only one)

Bank Student Lender

S&L Healthcare

Credit Union Insurance

Credit Card Co. Telecommunications

Mortgage Co. Utility (Electric, Gas, Water)

Auto Finance Co. Collections Agency

Finance Co. Law Firm

Leasing Co. Bankruptcy Recovery/Services

Manufacturer Debt Buyer/Seller/Broker

Wholesaler Industrial (non-mfg., please specify)

Retailer Other (please specify)

Service Co.

Government (non-student)

4.	Please select your primary area type of business: (select only one)

Consumer Credit or Collections Vendor (please specify)

Commercial Credit or Collections Other (please specify)

Both

5.	Do you recommend, specify, or buy the following: (select only one)

Account Receivable Management Services Electronic Bill Presentment/Payment/Checks

Advertising/Marketing Services Electronic Directory Assistance

Attorney Services Executive Recruitment

Automated/Predictive Dialing Systems Fraud Control Systems/Services

Call Center Systems/Services Internet/E-Commerce Services

Computer Hardware/Systems Mail Services

Credit Information Scoring Information/Services

Credit Insurance Skip Tracing/Asset Location Services

Credit Risk Management Services Software (please specify)

Debt Collection Services Training Education

Debt Portfolios

6.	For verification purposes, please select the month in which you were born:

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