Pest Control Technology
  Pest Control Technology is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Pest Control Technology, 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, Canada


 
1. Do you wish to receive a FREE subscription to Pest Control Technology?
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2. How do you wish to receive your subscription? (select only one)
Digital and Print     Print ONLY     Digital Delivery ONLY (no print copy will be received)


First Name:
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Job Title:
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  What is the approximate number of employees in your company? (select only one)
What's the best way to contact you for future renewals?
email     fax     phone

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3. What is your primary business at this location? (select one of the 5 areas below)
1.) Contract Pest Control
General Pest Control (insect, termite, rodent and other vertebrate control)
Ornamental, Turf & Tree, Pest & Weed Control
Mosquito and Flying Insect Control
Non-Crop Related Agricultural Pesticide & Herbicide Applicator other than Aerial
Aerial Pesticide Application
Fumigation Specialist
Other Contract Specialist (please specify)
2.) In-House Pest Control
Food Processing, Storage and Warehousing (including miller, brewer, grain or seed handler)
Retail/Wholesale Food Outlet (including restaurant or supermarket)
Commercial, Industrial, Institutional and recreational (including condominium/apartment complex, industrial, office park/plant, school, college university, hotel/motel, amusement park or zoo)
Hospital/Health Care Facility (including veterans' facility or nursing home)
3.) Government Pest Control
Military Installation
Federal, State or Community Public Health Department
Federal, State or Community Regulatory Agency other than Research Personnel
4.) Supplier
Distributor/Independent Manufacturer's Rep. and their Sales Representatives
Manufacturer/Formulator and their Sales Representative
5.) Other
Extension Agent, Consultant, Research, Library or Trade Association
College, University, Teacher, Student
Other (please specify)


4. What best describes your title? (select only one)
Owner Sanitarian, Foreman
President Supervisors
Vice-President Consultant
Corporate, Executive Officer Specialist
CEO, CFO Technicians, Servicemen
Controller, Treasurer Purchasing
Partner Entomologist, Scientist
Managers Other (please specify)
General Manager
Director


5. Is this a headquarters or branch office? (select only one)
Headquarters     Branch     Single Office


6. Please indicate your approximate business mix (percentage): (please specify for each category)
Residential: %
Commercial: %
Other: %
Specify type:
Total = 100%  


7. Please indicate your approximate service mix (percentage): (please specify for each category)
General Pest Control: %
Termite Control: %
Lawn Care: %
Other: %
Specify type:
Total = 100%  


8. How many technicians are employed at this location? (please specify)


9. What are your company's annual gross revenues? (select only one)
Less than $50,000 $500,000 to $999,999
$50,000 to $99,999 $1,000,000 to $1,999,999
$100,000 to $249,999 $2,000,000+
$250,000 to $499,999


10. What percentage of growth do you anticipate next year? (please specify)


11. What year was your business founded? (please specify)


12. For termite control, does your company use: (select only one)
Termite Baits     Liquid Treatments     Both Termite baits and Liquid treatments


13. Which of the following types of products and/or services are you considering purchasing in the next 6 months? (check all that apply)
Acquisitional Services/Franchising Rodent Control Traps/Bait Stations/Glueboards
Application Equipment Safety Equipment
Bed Bug Products Software
Bird Control Products Stored Product Pest Products
General Use Insecticides Termicides (Baits)
Insect Light Traps Termicides (Liquids)
Insurance Vehicles/Vehicle Accessories
Mold Control Products Wildlife Control Products
Mosquito Control Products Other (please specify)
Odor Control Products
Rodenticides


14. In lieu of a signature, please tell us the state in which you were born.


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Copyright © 2008 Pest Control Technology, All Rights Reserved.