Government Technology Free Subscription

	*Government Technology* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Government Technology*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA, Canada

1.	*Do you wish to start/continue your FREE subscription to Government Technology?*

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1a.

Which Government Technology Magazine delivery version would you like to receive?

Digital Version Print Version (US/Canada Only)

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

2.	For audit purposes and in lieu of a signature, would you note the day of your birth in the following field? This information is for verification purposes only. It will not be shared with any outside parties.

3.	Branch of Government: (select only one)

State Government Government Association

County Government Other Government

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Special District, Public Utility Other (please specify)

4.	Which category BEST describes your JOB FUNCTION/CLASSIFICATION? (select only one)

Administrative/Policy Management or Supervision Consultant Management or Supervision

Elected Official Marketing/Sales Management or Supervision

Financial/Procurement Management or Supervision Law Enforcement

Information Systems/Technical Management or Supervision Other (please specify)

Operations/Project Management or Supervisions

Professional Management or Supervision

5.	What is the primary FUNCTION of your AGENCY/DEPARTMENT? (select only one)

Administrative/Business & Consumer Affairs Library

Records Mgmt/Archives Personnel/Human Resources/Training

Justice-Judicial/Courts/Prosecution/Defense/Corrections Public Works/Engineering/Public Utility/Transportation

Law Enforcement/Public Safety/Fire/Emergency Services/911 Purchasing/General Services

DP/Telecom or Information Services Regulatory/Licensing

Education (K-12) Wastewater/Sanitation/Environment

Education (Higher Ed) Zoning/Land Use/Planning

Elected Official - Legislative/Admin/Staff Printing/Publishing

Finance/Revenue/Accounting/Audit Consulting/Marketing/Research

Forestry/Land Mgmt/Parks & Recreation/Agriculture Other (please specify)

Health, Welfare & Social Services, Housing & Community Dev.

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