Medical Imaging Technologies Free Subscription

	*Medical Imaging Technologies* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Medical Imaging Technologies*, 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, Europe

1.	*Do you wish to receive a FREE subscription to Medical Imaging Technologies?*

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First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
Company Address:
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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.	Job Function Specialty: Please select the area that best describes your specialty. (select only one)

Hospital Manager/Director Infection Control

Healthcare Trust Management Logistics/Supply Chain

Hospital Administrator Medical Imaging

CRO/Risk Director Rehabilitation

President/CEO/MD Facilities

CFO/Finance Project Manager

CIO/IT Director Cardiologist

COO/Operations Director Radiation Oncologist

CTO/Technical Director Radiologists

Human Resources Neuro-Radiologist

Purchasing/Procurement Oncology

Medical Manager/Director Other (please specify)

ICU, CCU & Respiratory Care

3.	Job Function Level of Responsibility: Please select the area that best describes your level of responsibility. (select only one)

Chairman Executive/Staff

President/CEO/Managing Director Consultant

Vice President/Director Other (please specify)

Manager/Department Head

Assistant Manager

4.	Company Activity: (select only one)

Public Sector Hospital Imaging Centre

Private Sector Hospital Private Clinic

Government Departments Long-term Care Facilities

Medical Society/Association Other (please specify)

5.	Company Turnover: (select only one)

Less than €150 million €1 - €5 billion

€151 - €500 million Over €5 billion

€501 - €999 million

6.	So that we can accept your registration, please answer the ABC (Audit Bureau of Circulations) question below: What are the last two digits of your year of birth? (for example, if you were born in 1967 it would be 67)

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