Roofing Contractor Free Subscription

	*Roofing Contractor* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Roofing Contractor*, 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

1.	*Do you wish to receive a FREE subscription to Roofing Contractor?*

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2.	Please check your preferred format: (select only one)

Print Version of Roofing Contractor (FREE) Digital Version of Roofing Contractor (FREE)*

*All digital subscribers will receive the print version until digital is available.

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	You will receive subscription and renewal notices from BNP Media via email.

3.	Optional: If you want delivery to your home or Business P.O. Box, please complete the area below.

Please mail my copy to: Home (below) P.O. Box (below) Business Address (above)

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

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4.	In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth?

Your fax number is used to communicate to you. By providing your fax number, you are giving your written permission to receive subscription and other related information from BNP Media that may be of interest to you by fax. BNP Media will not share this information or use it for any other purpose. Would you like to receive subscription faxes sent by Roofing Contractor/BNP Media?

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6.	*Would you like to receive the Roofing Contractor* e-newsletter FREE of charge?**

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7.	Would you like to receive Architectural Roofing & Waterproofing e-newsletter FREE of charge?

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8.	My firm is a: (select only one)

Roofing Contractor

Other (please specify)

9.	My title is: (select only one)

President/Vice President/Owner/Partner Foreman/Supervisor/Applicator/Technician/Installer

General Manager/Director/Purchasing Manager Other (please specify)

Sales Mgr./Estimator/Non-Management Sales Personnel

10.

My firm primarily performs: (select only one)

Commercial/Institutional Work Both

Residential Work Other (please specify)

11.

My firm purchases and installs the following types of roofing materials: (select all that apply)

BUR Tile

Single-Ply Slate

Shakes Elastomeric

Shingles Concrete

Bitumen Spray Polyurethane Foam

Modified Bitumen All of the above

Metal None of the above

12.

My firm purchases and installs the following types of roof-related materials: (select all that apply)

Decking Gutter

Insulation Coatings

Skylights Sealants and Adhesives

Fasteners Underlayment

Flashing Batts/Blankets/Blow-in

Vents All of the above

Drains None of the above

13.

During peak season, my firm employs the following number of people: (select only one)

1-4 20-49

5-9 50-99

10-19 100+

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