Professional Carwashing & Detailing®
  Professional Carwashing & Detailing® is free to qualified professionals. Summary Description
  To apply for a FREE introductory subscription to Professional Carwashing & Detailing®, 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 introductory subscriptions.
  Geographic Eligibility: USA, Canada


 
1. Do you wish to receive a FREE introductory subscription to Professional Carwashing & Detailing®?
Yes     No


First Name:
Last Name:
Job Title:
(Ex: Director, Test Lead, Project Manager, etc.)
Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Street Address:
Suite/Dept:
City:
State/Province:
Zip Code/Postal Code:
Country:
(Note: If your country is not listed above, distribution is not currently available at your location.)
Email Address:
(Note: Valid email address is required or you could be disqualified.)
Phone:
Fax:

  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. Do you wish to receive a FREE email subscription to Professional Carwashing & Detailing e-News® service?
Yes     No


3. Primary Business Activity: (select only one)
Full Service Conveyor Gasoline Retailer/Distributor
Exterior Service Conveyor Convenience Store
Self-Serve Distributor or Jobber of Auto Detailing Supplies
In-Bay Automatic Distributor/Wholesaler of Carwash Equip, Supplies & Products
Detailing/Restoration Manufacturer/Supplier of Carwash Equip, Supplies & Products
Fast Lube Oil Change Other (please specify)
Potential Investor
Auto Dealer/Auto Leasing


4. Secondary Business Activity: (select only one)
Full Service Conveyor Gasoline Retailer/Distributor
Exterior Service Conveyor Convenience Store
Self-Serve Distributor or Jobber of Auto Detailing Supplies
In-Bay Automatic Distributor/Wholesaler of Carwash Equip, Supplies & Products
Detailing/Restoration Manufacturer/Supplier of Carwash Equip, Supplies & Products
Fast Lube Oil Change Other (please specify)
Potential Investor
Auto Dealer/Auto Leasing


5. Job Function: (select only one)
Owner Other (please specify)
President
Manager


6. Number of Locations: (select only one)
4 or more     2 - 3     1


7. Purchasing Authority? (select only one)
Sole Purchasing Decision Maker Approve Purchases
Specify/Recommend Purchases Not Involved


8. Do you sell gasoline?
Yes     No


9. Our circulation is audited by an independent company that ensures our circulation figures are accurate. To verify your subscription, auditors must know the day of the month you were born.


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* 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.
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