Government Video Free Subscription

	*Government Video* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Government Video*, 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 Government Video?*

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)
Street Address:
Department/Division:
City:
State/Province:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Zip Code/Postal Code:
Phone:
Fax:
Email:
	(Note: Valid email address is required or you could be disqualified.)
Website:

What is the approximate number of employees in your company? (select only one)

2.	*Would you like to receive your Government Video* subscription in a digital format instead of print if it becomes available?**

3.	You will receive subscription notifications via email. Do you wish to receive other email and other promotions from NewBay Media LLC?

4.	Would you like to receive email and/or promotions from trusted NewBay Media LLC marketing partners?

5.	Reader feedback is important to NewBay Media LLC. May a member of NewBay Media LLC's Editorial Research team contact you via email?

6.	*Would you like to receive exclusive articles and white papers from Government Video's editors and partners in a digital, interactive format if it becomes available?*

7.	Organization: (select only one)

8.	Job Description: (select only one)

9.	Major Application Area: (select all that apply)

10.

Do you work in an in-house A/V production or video conferencing facility?

11.

Do you buy, specify or recommend products or services used in A/V, visual communications or imaging?

12.

What is the annual equipment and software budget for A/V and related products for your specific facility? (select only one)

13.

Which of the following product categories will you be evaluating for purchase within the next 12 months? (select all that apply)

14.

What method do you use to purchase A/V related products and services? (select all that apply)

15.

In lieu of a signature, Audit Bureau regulations require that we ask a validation question as proof of your request to subscribe. What is the name of your favorite pet? (If you have not had a pet, enter 'none'.)

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

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

Security Check: Enter both words below, separated by a space.

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.

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