| |
| 1. | Do you wish to receive a FREE subscription to Industrial Laser Solutions for Manufacturing? |
Yes
No
| 2. | I want to receive/continue to receive the FREE Industrial Laser Solutions for Manufacturing E-Newsletter. |
Yes
No
| 3. | I would like to participate in FREE Educational Webcasts. |
Yes
No
| 4. | I would like to receive/continue to receive the FREE Product Watch E-Newsletter |
Yes
No
| First Name: |
|
| Last Name: |
|
| Job Title: |
|
| |
(Ex: Director, Vice President, Project Manager, etc.) |
| Company: |
|
| |
(Please provide your Company Name in full: abbreviations could disqualify you) |
| Address: |
|
| Department/Mail Stop: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Country: |
|
| |
(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
| Phone Number: |
|
| Fax Number: |
|
| |
By providing your fax number, you are agreeing to receive fax broadcasts from PennWell for subscription purposes. |
| Email Address: |
|
| |
(Note: Valid email address is required or you could be disqualified.) |
| |
You may receive renewal reminders via email. If you do NOT want to receive other business related third party email offers from PennWell, please check here. |
| | 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.
| 5. | How would you prefer to receive Industrial Laser Solutions? |
Printed Magazine
Electronic/Digital Magazine
(Note: Subscribers outside of US, Canada and Mexico are ONLY eligible for the Electronic/Digital version.)
| 6. | Please indicate your principal job function: (select only one) |
| 7. | Which of the following best describes your business or industry? (select only one) |
| 8. | Do you currently use industrial laser systems? |
Yes
No
| 9. | Are you considering purchasing industrial laser systems? (select only one) |
| 10. | How many of each industrial laser systems do you have/use? |
| 11. | Please check ALL applicable categories for products and services that you recommend, specify or purchase: (select all that apply) |
| 12. | Besides yourself, how many other individuals read your copy of Industrial Laser Solutions for Manufacturing? (select only one) |
| 13. | In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the first letter of your mother's name? |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
Yes
No
| | Sign up for special offer alerts from select partners featuring the latest products and services you are interested in. |
Yes
No
| |
Related FREE Offers from TradePub.com: Check those you wish to receive. |
| | Which of the following services does your company provide? (select only one) |
| | What is your job function? (select only one) |
| | Company Employee Size: (select only one) |
| | Job Role/Title: (select only one) |
| | Microsoft may send me pertinent security, product, and event information via: (select all that apply) |
|
|