Integrated Solutions for Retailers Free Subscription

	*Integrated Solutions for Retailers* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Integrated Solutions for Retailers*, 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 receive a FREE subscription to Integrated Solutions for Retailers?*

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)
Address:
Address2:
City:
State:
Zip:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone Number:
Fax Number:
Email address:
	(Note: Valid email address is required or you could be disqualified.)

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

2.	Do you purchase, recommend, or approve the purchase of information technology products and services?

Yes No

3.	How many people are employed in your entire organization? (select only one)

20,000 + 500 - 999

10,000 - 19,999 100 - 499

5,000 - 9,999 < 100

1,000 - 4,999

4.	How many stores are in your retail chain? (select only one)

1,000 + 50 - 99

500 - 999 10 - 49

250 - 499 1 - 9

100 - 249 None (catalog, online)

5.	What is your total company revenue? (select only one)

1 Billion + 50 - 99 Million

400 - 999 Million 10 - 49 Million

100 - 399 Million < 10 Million

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

Corporate Management Operations Management cont.

CEO/President CFO/Controller

Partner/Owner Financial/Accounting Management

VP/GM Sales/Business Development

IS Management Loss Prevention/Security Management

CIO/CTO CMO/Marketing Operations

VP/Director of IS/IT Merchandise Management/Buyer

Systems Manager Human Resources/Training

Project Manager Warehouse/Logistics/Distribution Management

Operations Management Other Professionals (please specify)

COO

VP/Director of Operations

7.	What is your organization's primary business activity? (select only one)

Retailer Retailer cont.

Mass Merchandiser Automotive/Aftermarket/Tires

Department Store Discount Store/Wholesale Club

Drug Store Restaurant

Home Center/Hardware Travel/Entertainment/Recreation

Furniture Retail Services (salon, photo, healthclub, florist, etc.)

Apparel Other Retailer (please specify)

Footwear

Jewelry/Accessories Non-Retailer

Gift/Novelty/Variety Logistics/Financial/Merchant Services

Toy/Hobby/Pet Manufacturer

Books/Music/Video Distributor/Wholesaler

Sporting Goods Consulting/VAR/Integrator

Electronics/Computer/Cellular/Office Supplies Media

Grocery Other (please specify)

Convenience Store/Petroleum

8.	What are your technology interests? (select all that apply)

POS Software Kiosks

CRM Financial/Accounting Software

Payment Processing Human Resource Management

Networking/VPN Loss Prevention/Security/Risk

Gift/Loyalty Cards E-Commerce

Workforce Management Supply Chain/Logistics

Time & Attendance WMS

Business Intelligence AIDC/Barcoding

Merchandise Management/Inventory Control Wireless/Mobile Computing

POS Hardware RFID

In-Store Wireless Handhelds Digital Signage

Receipt Printers Check Processing

9.	*Would you be interested in receiving Integrated Solutions for Retailers* in a digital format when it becomes available?**

Yes No

10.

For audit purposes, (since we cannot get your signature), What day of the month were you born?

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

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Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations?

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