Pharmaceutical Manufacturing
  Pharmaceutical Manufacturing is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Pharmaceutical Manufacturing, 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 (Print and Digital version available), Canada, Mexico and International (Digital version only)


 
1. Do you wish to receive a FREE subscription to Pharmaceutical Manufacturing?
Yes     No


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Street Address:
Department/Mail Stop:
City:
State/Province:
Zip Code:
Country:
(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Email Address:
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Business Phone:
Business Fax:

Your email address is used to communicate subscription related information in addition to important editorial updates. Check here if you do Not want to receive relevant business related 3rd party offers.
 
Yes, please auto-fill my contact information for other publication qualification forms.


2. What is your company's primary business? (select only one)
Pharmaceutical Manufacturing Architecture/Engineering/Construction
Bulk Products/Raw Materials Producer Government/Higher Education
Specialty Chemicals Analytical Services
Contract Manufacturing/Packaging Other (please specify)


3. Which of the following best describes your job title? (select only one)
Research & Development Regulatory/Compliance
Quality Control/Assurance, Validation Consulting
Production/Manufacturing Purchasing/Procurement
Engineering/Project Management Packaging
Corporate Management Other (please specify)


4. Please check all the products that you recommend, specify, and/or buy. (select all that apply)
Processing Equipment & Systems Maintenance Equipment & Supplies
Packaging/Material Handling Equipment & Systems Consulting/Validation Services
Pilot Plant/Laboratory Equipment & Systems Contract Manufacturing
Instrumentation & Control/Automation Systems & Software Filtration/Separation
Quality/Compliance Systems & Software Clean Room Supplies/Systems
Information Management Systems & Software Other


5. Number of employees at this location. (select only one)
2500 and over 250 - 499
1000 - 2499 100 - 249
500 - 999 99 and Under


6. Are you involved with the management, design and/or maintenance of the manufacturing systems at your company?
Yes     No


7. What format do you prefer to receive Pharmaceutical Manufacturing magazine?
Print version of Pharmaceutical Manufacturing (USA only)
Digital (Web-based) version of Pharmaceutical Manufacturing (USA and international)
Both the print and digital (Web-based) versions of Pharmaceutical Manufacturing (USA only)


8. In lieu of a signature, Putman Media requires a personal identifier. To verify that you submitted this application, what is the name of the city in which you were born?


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  Please indicate your industry: (select only one)
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  Which of the following best describes your industry? (select only one)
Agriculture Healthcare Service Provider
Apparel Healthcare
Banking Hospital
Biotech Insurance
Chemical Manufacturing
Communication Media
Construction Not for Profit
Consulting Pharmaceutical
Education Retail
Electronics Shipping
Energy Technology
Engineering Telecommunications
Entertainment Transportation
Environmental Utilities
Finance Other (please specify)
Food and Beverage
. Please select the category that best describes your title: (select only one)
General and Financial Management Information Management cont.
CEO, President, Executive Director, Administrator Other IT Personnel (please specify)
CFO, Finance Director/Manager
CSO/Security Officer/Director Network/MIS/Data Processing Director/Manager
Planning Officer/Director Health Information Director/Manager
Marketing Officer/Director Coding/DRG Director/Manager
COO, VP, Assistant Administrator Systems Administrator/Analyst/Network Specialist/Project Manager
CCO, Compliance Director/Manager Clinical Management
CPO/Purchasing/Materials Management Director/Manager Chief of Staff/Medical Director/VP of Medical Affairs
Quality Officer/Director Chief of Pathology/Pathologist
Other Administrative Title (please specify) Chief of Radiology/Radiologist
Other Clinical Administration (please specify)
Information Management
CIO, VP of Information Systems, Tech Officer Chief of Laboratory Services/Lab Administrator
Chief of Medical Records/Medical Records Manager Chief of Pharmacy/Pharmacist
Director/Manager of Medical Informatics Chief/VP of Nursing Services/Asst Director/Case Manager
Director/Manager of Telecommunications/Call Center Director/Manager Other Title (please specify)
  What is the number of employees in your entire organization? (select only one)
less than 50 1,000-4,999
50-99 5,000-9,999
100-499 10,000-19,999
500-999 20,000+


     

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Copyright © 2008 Pharmaceutical Manufacturing, All Rights Reserved.