Outpatient Surgery Free Subscription

	*Outpatient Surgery* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Outpatient Surgery*, please answer ALL of the questions on the form below.
	The magazine 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 Outpatient Surgery?*

Yes No

First Name:
Last Name:
Degree:
	(MD, RSN)
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Facility Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Mailing Address:
Department/Division:
City:
State:
Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Telephone Number:
Fax Number:
Email Address:
	(Note: Valid email address is required or you could be disqualified.)
Number of Steril ORs:
Number of Endoscopy Rooms:

Which of the following best describes your industry? (select only one)

Please specify for Other:

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.	Month of Birth:

3.	Which best describes your professional title? (select only one)

Administrator / Director / Manager Director, Surgical Services / Director of Nursing

Medical Director / Chief Surgeon Anesthesiologist / Nurse Anesthetist

OR Manager / Supervisor Other

4.	Which best describes the type of facility you are associated with? (select only one)

Acute-care Hospital Ambulatory Anesthesia

Licensed or Certified ASC Other

Office with Surgery Suite

5.	I have influence over the purchase of: (select all that apply)

None Business Supplies & Services

Capital Equipment Surgical Supplies

Implants Surgical Pharmaceuticals

6.	The facility I am associated with is located in: (select only one)

United States Canada Other

7.	We serve the following specialty areas: (select all that apply)

All ENT

Dermatology General Surgery

Gastroenterology Ophthalmology

Gynecology Pain Management

Orthopedics Podiatry

Plastic Urology

Dental / Oral Surgery

Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?

Yes No

Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations?

Yes No

Related FREE Offers from TradePub.com: Check those you wish to receive.

A FREE 6-month subscription to AOPA Flight Training magazine! AOPA Flight Training magazine offers the insight and counsel of experienced pilot-authors to help both instructors and pilots-in-training as they progress toward their goals in aviation. Get advice on how to become a pilot, select a flight school and instructor, as well as guidance, training techniques, and tips from experienced pilots. Limit of one free offer per person and cannot be combined with a paid AOPA membership. If you hold a private rating or above, you do not qualify for the free offer. Note: Offer Valid in the United States Only.

Request Your Free Research Report - Getting the Most for Every Dollar: Tools and Strategies for Expense Management at Mid-Size Companies, to see how other mid-sized companies are using corporate cards and other strategies to control expenses. For the sixth consecutive year, American Express has teamed up with CFO Research Services to identify how finance executives manage spending programs to yield sustained business results. This year's research, Getting the Most for Every Dollar, is a guide for CFOs interested in gaining insight on how other Middle Market companies can strike the appropriate balance in achieving price, service and quality to manage indirect expenses. Note: Offer Valid in the United States Only.

Sign up for the Systems Biology Newsletter Today - Systems Biology focuses on the strategies, tools, and companies driving integrative biology and reports on silico biology products and services, regulatory agency activities, and current systems biology technology trends and approaches. Note: Offer Valid in the United States & Canada Only.

What category best describes your JOB FUNCTION? (select only one)

What is your primary BUSINESS ACTIVITY at this business location? (select only one)

You may receive emails from CHI regarding your subscription. If you do not want to receive this, please check no.

Yes No

You may also receive email from CHI partners whose products match your interests. If you do not want this, please check no.

Yes No

4 FREE Trial ISSUES OFFER OF The Economist! Insights on the world, weekly. The Economist is a global weekly magazine written and edited for readers who share an uncommon interest in being well and broadly informed. With objective authority, clarity and wit, The Economist presents well-considered analysis of the world's business, political, scientific, technological and cultural affairs and the connections between them. Subscribe to The Economist today and you'll get 4 RISK-FREE issues as a free trial. If you wish to continue your subscription, you'll receive 20 additional issues - 24 in all for just $2.49 an issue (total of $59.76). That's 58% off the cover price. If you decide The Economist is not for you, write 'cancel' on the bill, return it and owe nothing. Note: Offer Valid in the United States Only.

Click below if you wish to receive email from: (select all that apply)

The Economist

The Economist and other Economist Group companies

The Economist, The Economist Group and selected third parties authorized by The Economist

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.

* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.