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| 1. | Do you wish to receive a FREE subscription to Appliance? USA (print only) International (digital only) |
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| First Name: |
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| Job Title: |
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(Ex: Director, Vice President, Project Manager, etc.) |
| Company: |
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(Please provide your Company Name in full: abbreviations could disqualify you) |
| Address: |
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(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
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(Note: Valid email address is required or you could be disqualified.) |
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | Do you wish to receive promotional materials from Appliance or related industry suppliers via email? |
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| 3. | Please check your primary job title: (select only one) |
| 4. | What is your primary business activity at this business location? (select only one) |
| 5. | Please check the products that you are involved in recommending, specifying, or purchasing in any way for your company. (select all that apply) |
| 6. | Number of employees at this location: (select only one) |
| 7. | What is the end product manufactured or service performed at this location? (select only one) |
| AC & Refrigeration Equipment |
Business Equipment |
| AC & commercial refrigeration |
Computers |
| Household refrigerators & freezers |
Computer terminals |
| Blowers & fans |
Typewriters & word processors |
| AC & heating grills/registers |
Scales & balances, except laboratory |
| Consumer Electronics Equipment |
Computer peripheral equipment |
| Household audio & video equipment |
Computer storage devices |
| Telephone equipment |
Photographic equipment & supplies |
| Door chimes, cord sets |
Metal household furniture |
| Radio & TV communications equipment |
Metal office furniture |
| Lighting fixtures |
Metal partitions, furniture, shelving |
| Other Appliance-related Manufacturing |
Appliance Materials & Non-electrical Components |
| Metal stampings |
Adhesives/sealants, metals, plastics |
| Fabricated metal products |
Design & Engineering Firm |
| Cast iron cooking utensils |
Engineering Services |
| Aluminum cookware |
Food Service Companies |
| Porcelain enamel, paint, coil coating |
Food service companies |
| Health & Medical Appliances & Related Products |
Household Cooking Equipment |
| Surgical & medical instruments |
Household cooking equipment |
| Laboratory apparatus & furniture |
Electric Houseware |
| Optical instruments & lenses |
Lawn & garden equipment |
| Measuring & controlling devices |
Electrical housewares & fans |
| Electro medical & electrotherapeutic App. |
Power-driven hand tools |
| Ophthalmic goods |
Burglar, fire & smoke alarms |
| Photographic equipment & supplies |
Vacuum Cleaners |
| Watches, clocks |
Commercial Appliances & Vending |
| Fitness equipment |
Commercial-cooking, dishwashers, vacuums |
| All Other not Classified Above |
Automatic vending machines |
| Metal services center & offices |
Commercial laundry equipment |
| Printing, publishing, & allied industries |
Food products machinery |
| Retail distributors |
Calculating & ATM machines |
| Trade associations |
Measuring & dispensing pumps |
| Research, development & testing services |
Electric hair clippers & hair dryers |
| Heating Equipment |
Appliance Motors & Controls |
| Heating Equipment, except electrical |
Motors & generators |
| Household Laundry Equipment |
Transformers, except electronic |
| Household laundry equipment |
Drawing & insulating of nonferrous wire |
| Water Processing Appliances |
Relays |
| Dishwashers, disposers, water heaters |
Capacitors & condensers |
| Stainless steel sinks |
Switches |
| Pumps & pumping equipment |
Semiconductors & related devices |
| Whirlpool Spas |
Circuit boards & power supplies |
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Controls |
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| 8. | In order to verify your on-line subscription request, we are required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What state were you born in? |
| | Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com? |
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No
| | Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations? |
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Related FREE Offers from TradePub.com: Check those you wish to receive. |
| | 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) |
| | What is your company's annual sales volume? (select only one) |
| | What business management software are you currently using? (please specify below) |
| | How long has your company been using this current software? (select only one) |
| | Are you planning to purchase a business management software solution in the next: (select only one) |
| | What Industry are you looking to open your Franchise in? (please specify) |
| | Capital To Invest: (select only one) |
| | Net worth: (select only one) |
| $100,000 to $200,000 |
$800,000 to $1,000,000 |
| $200,000 to $500,000 |
Over $1,000,000 |
| $500,000 to $800,000 |
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