1.	Do you wish to receive a FREE introductory subscription to CM/Cleaning & Maintenance Management®?

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:	Select for USA or Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory   American Samoa Guam Marshall Islands Micronesia (Federated States of) Palau Puerto Rico U.S. Minor Outlying Islands U.S. Virgin Islands Northern Mariana Islands Armed Forces Americas AA Armed Forces Middle East, Europe, Canada AE Armed Forces Pacific AP   Other
Zip Code/Postal Code:
Country:	Select Country USA CANADA OTHER
	(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:

Yes, please auto-fill my contact information for other publication qualification forms.

2.	Do you wish to receive a FREE email subscription to CM e-News Daily™ service?

Yes     No

3.	Business Activity: (select only one)

Contract Cleaner	Retail-Commercial Building/Club/Airport/Church/Auditorium
School/College/University	Industrial Plant/Manufacturing Plant
Hospital/Sanitarium/Rest Home/Nursing Home	Carpet Contract Cleaner
Office Building/Government Building	Other (please specify)
Hotel/Motel/Apartment Building

4.	Job Function: (select only one)

Director Physical Plant Facility	Building Maintenance Manager
Director Environmental Services	Physical Plant Administration
Superintendent Buildings and Grounds	Custodial/Maintenance Supervisor
Director of Maintenance	Business Owner or Manager
Building/Facilities Engineer	Sales Manager/Representative
Executive Housekeeper	Property Maintenance Manager
Manager Building Services	Other (please specify)

5.	Purchasing Authority? (select only one)

Sole Purchasing Decision Maker	Approve Purchases
Specify/Recommend Purchases	Not Involved

6.	Annual Purchases (Equip. Materials & Supplies): (select only one)

Over $1 million per year	$50,000 to $99,999 per year
$500,000 to $1 million per year	$20,000 to $49,999 per year
$250,000 to $499,999 per year	$10,000 to $19,999 per year
$100,000 to $249,999 per year	Less than $9,999 per year

7.	Number of Employees: (select only one)

200 or more	20 - 49
100 - 199	4 - 19
50 - 99

8.	Average Square Feet Cleaned per Month: (select only one)

5,000,000 or more	500,000 - 999,999
3,000,000 - 4,999,999	100,000 - 499,999
1,000,000 - 2,999,999

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.

Select day of month 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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

Request your Free Trial today! Try MyFax™ FREE for 30 days. Rated #1 by TopTenREVIEWS three years in a row, MyFax is an Internet fax service that lets you send and receive faxes from your email or the web. No software, hardware, second phone line, or long distance charges! Fax to any fax machine worldwide and never miss a fax again! MyFax is reliable - always on and never busy or out of paper. Note: Offer Valid in the United States and Canada Only.

Learn About Great Franchise Opportunities! FranNet provides no-cost guidance, information and support to individuals who are interested in purchasing a franchised business. FranNet consultants specialize in helping their clients find the right franchise through their exclusive matchmaking process. FranNet's experienced franchise experts will help you: Understand the pros and cons of owning your own business. Recommend franchise opportunities based on your lifestyle and business goals. Save you money by educating you on anticipated costs, franchises fees, financing options and training. FranNet has over 20 years of franchising experience and a trusted name in the industry. Note: Offer Valid in the United States Only.

Discover how to find new customers online. Spot Runner brings you new prospects with Online Advertising. We put your business on major search engines like Google, Yahoo, and create you a free video for sites like YouTube! Click to learn more about Spot Runner's Online Advertising solution today! Note: Offer Valid in the United States Only.

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.