Contractor Free Subscription

	*Contractor* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Contractor*, 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 (Choose between print or digital version)

1.	*Do you wish to receive a FREE subscription to Contractor?*

Yes No

2.	*How would you like to receive your copy of Contractor?*

Print Version of Contractor

Digital Version of Contractor

First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Dept/Mail Stop/Suite:
Business Address:
City:
State/Province:
Zip/Postal Code:
Country:

Email Address:
	(Note: Valid email address is required or you could be disqualified.)
Phone:
Fax:
	By providing your fax number, you are giving your written permission to receive subscription notices from Contractor via fax.

If you want delivery to your home or Business P.O. Box, please complete the area below.
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Which of the following best describes your industry? (select only one)

Please specify for Other:

Which of the following is closest to your job function? (select only one)

Please specify for Other:

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

3.	Do you personally specify, recommend, approve, or buy plumbing, heating, piping, hydronic heating and/or fire protection/sprinkler products?

Yes No

4.	Is your firm engaged in plumbing, hydronic heating and/or mechanical contracting?

Yes No

5.	Which of the following types of contracting work is your firm engaged in? (select all that apply)

Plumbing Fire/Sprinkler Protection

Hydronic Heating (wet) Private Water Systems

Process Piping Snow Melt Systems

Bath/Kitchen Remodeling Air Conditioning

Plumbing Showroom Warm Air Heating

Radiant Floor Heating Other (please specify)

None of the Above

6.	How many people does your firm employ? (select only one)

500 or more 20-49

250-499 10-19

100-249 5-9

50-99 1-4

7.	What types of construction activity does your firm engage in? (select all that apply)

ACTIVITY

New Construction

Modernization - Alteration - Retrofit

Repair, Replacement, Service

ACTIVITY TYPE

Mechanical Contracting

Design/Build Contracting

Green Mechanical Contracting

Other (please specify)

8.	What types of construction fields is your firm engaged in? (select all that apply)

RESIDENTIAL

1-3 Dwelling Units - Houses

4 or More Dwelling Units - Apartments including Garden Apartments & Townhouses

High-rise Apartments

NON-RESIDENTIAL

Commercial/Institutional

Health Care/Hospitals

Schools: K-12

Schools: Colleges/Universities

Industrial

OTHER

Other (please specify)

9.	Which range properly describes your approximate annual sales volume? (select only one)

$10,000,000 and over $750,000 - $999,999

$7,500,000 - $9,999,999 $500,000 - $749,999

$5,000,000 - $7,499,999 $250,000 - $499,999

$2,500,000 - $4,999,999 $100,000 - $249,999

$1,000,000 - $2,499,999 Under $100,000

10.

Which of these magazines do you receive personally addressed to you? (select all that apply)

Plumbing & Mechanical

Plumbing & Heating Contractor News

Jobsite

None of the Above

11.

Which of the following applies to you or your company? (select all that apply)

I use a computer in my job

I, on behalf of my company, buy products and services via the Internet

My company buys products and services via the Internet

My company sells products and services via the Internet

None of the Above

12.

How many trucks does your firm operate? (select only one)

50 or more 6-10

20-49 1-5

11-19

13.

What types of trucks are in your fleet? (select all that apply)

Step Vans Pickups

Cube Vans Stakebeds

Flat Beds Other (please specify)

Vans

14.

Would you like to recieve Contractor e-Zine free?

Yes No

15.

In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What year were you born?

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