Church Production Magazine Free Subscription

	*Church Production Magazine* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Church Production Magazine*, 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

1.	*Do you wish to receive a FREE subscription to Church Production Magazine?*

Yes No

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)
Department/Mail Stop:
Street Address:
City:
State:
Zip Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Contact info is for:	Church/Business
	Home
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.	Are you actively involved in audio, video and lighting technologies at your church?

Yes No

3.	Which of the following best describes the nature of your business? (select only one)

Church (church staff or volunteer) Equipment Manufacturer

Contractor/Dealer Other (please specify)

Consultant

4.	What is your primary job function? (select only one)

Church/House of Worship related Business/Corporate related

Technical Director/Media Minister (Audio, Video, Lighting, Multimedia) Executive Management (Owner, Partner, President, GM, VP)

Pastor/Senior Pastor Designer/Architect/Engineer

Facilities/Operations/Building Manager Sales/Marketing Manager/Staff

Executive Pastor/Business Administrator/Church Executive Technician

Technical Systems Operator (Volunteer) Other (please specify)

Technical Systems Operator (Staff)

Other (please specify)

5.	What is your church's denomination? (select only one)

Baptist Presbyterian

Pentecostal Independent/Non-Denominational

Methodist Other (please specify)

Lutheran

6.	What is the maximum seating capacity of your church's main sanctuary/auditorium? (select only one)

1-300 2001-3500

301-800 3500+

801-2000

7.	What is the average weekly attendance at your church worship services? (select only one)

Less than 200 1200-1999

200-399 2000-2999

400-799 3000+

800-1199

8.	What is your level of involvement in making purchasing decisions for your church? (select only one)

Authorize Influence/Recommend

Specify None

9.	Is your church planning a building/remodeling project?

Yes No

10.

Do you include audio/video production in your worship service?

Yes No

11.

We require a unique identifying piece of information in order to verify this request is valid: What day of the month were you born?

12.

May we contact you via email regarding your subscription?

Yes No

13.

May we contact you via email regarding Church Production products and events?

Yes No

14.

May we contact you via email regarding products or services from selected companies that Church Production thinks may be of interest to you?

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Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?

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Sign up for special offer alerts from select partners featuring the latest products and services you are interested in.

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