Mass Market Retailers Free Subscription

	*Mass Market Retailers* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Mass Market Retailers*, 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, Canada

1.	*Do you wish to receive a FREE subscription to Mass Market 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)
Department/Mail Stop/Suite:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email Address:
	(Note: Valid email address is required or you could be disqualified.)

By providing your email address, you are granting Mass Market Retailers permission to contact you regarding your subscription. Please note, your email address will not be shared with any third party. If you do not wish to receive other email promotions from Mass Market Retailers/Racher Press Inc., check here.

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.	In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is the 1st initial of your mother's first name?

3.	What is your company's primary business? (select only one)

HEADQUARTERS (CORP/REG/DIST) OF: Co-op, Voluntary or Wholesaler

Discount/Gen Mdse Store Chain Wholesale/Warehouse Club

Drug Store Chain Other (please specify)

Supermarket Store Chain

4.	What is the total number of stores in your chain? (Retailers only) (select only one)

2-3 stores 11+ stores

4-10 stores

5.	What is your title? (select only one)

Administrative/operations management (Owner, Pres, Partner, VP, GM, Treasurer, Dept Head, Mgr Supv, etc.)

Buyer/Merchandise Mgr/Category Manager

Other (please specify)

6.	What is your primary area of responsibility? (select only one)

Operations Store Planning

Sales/Marketing Merchandising

Loss Prevention Category Management

Warehouse/Transportation Real Estate

Finance E-Commerce

MIS/EDP Other (please specify)

7.	Do you recommend, approve or purchase any of the products listed below? (select all that apply)

H&BA/Cosmetics Jewelry

OTC Drugs/Vitamins Household/Petcare

Rx Drugs/Generics Housewares/Hardware

Photo/Batteries Toys

Audio/Video Automotive

Tobacco Seasonal

Greeting Cards/Stationery/Office Supplies Soft Lines

Candy/Snacks Private Label

Beverages Other

Magazines/Books None of the above

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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What is your projected annual online revenue? (select only one)

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$10M - $25M Not sure/Can't disclose

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