Pharmaceutical & Medical Packaging News Free Subscription

	*Pharmaceutical & Medical Packaging News* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Pharmaceutical & Medical Packaging News*, 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 Pharmaceutical & Medical Packaging News?*

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2.	*Which version of Pharmaceutical & Medical Packaging News* do you wish to receive?**

Print Digital

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

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

3.	Indicate the primary description of your employer. (select only one)

Pharmaceutical Manufacturing Services Provider (including Contract Sterilization, Testing, R&D, and Design)

Biotechnology Manufacturing Consultant

Vitamins and Nutritional Supplement Manufacturing Government/Academic

Medical Device & Instrumentation Manufacturing/Clinical Diagnostic Manufacturing Other (please specify)

Contract Packager

4.	Indicate your primary job function. (select only one)

Research and Development Purchasing

Production/Manufacturing (including Packaging & Sterilization) Regulatory Affairs

Engineering General/Corporate Management

Quality Assurance/Quality Control Marketing

Package Design Other (including Traffic & Shipping) (please specify)

5.	My Responsibilities include the following: (select all that apply)

Determine Need For Products and Services Write and Review Request For Proposals

Set Budgets For Purchases Make Final Purchasing Decisions

Identify Vendors

6.	I recommend, specify, purchase or approve the following: (select all that apply)

Packaging Containers Packaging Services & Supplies

Packaging Machinery None of the Above

Packaging Materials

7.	In order to verify your on-line subscription request, Canon Communications LLC is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is your eye color?

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