Retail Construction Magazine Free Subscription

	*Retail Construction Magazine* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Retail Construction Magazine*, 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 Retail Construction Magazine?*

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)
Company Website:
Address:
Dept/Mail Stop/Suite:
City:
State:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Zip Code:
Phone:
Fax:
Email:
	(Note: Valid email address is required or you could be disqualified.)

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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)

2.	Please indicate your primary business: (select only one)

Retail Chain Manufacturer/Supplier

Design Firm Consultant

Architecture/Engineering Firm Purchasing Firm

Contractor/Builder/Construction Financial Organization

Shopping Center Owner/Developer/Property Manager Other (please specify)

3.	Please indicate your primary job function: (select only one)

Corporate Management (President, CEO, Partner, Owner, CFO, etc.) Construction

Senior Management (Vice Pres., Director, Executive) Real Estate

Operations Architecture

Facilities Project Management

Maintenance Information Systems

Store Design/Planning Purchasing

Security Other (please specify)

Energy/Utilities

4.	Please indicate the number of construction projects (new build or renovation) that your company will be involved in over the next 18 months: (select one for each)

Number of new retail sites to be constructed Number of sites to be remodeled/renovated Number of sites to be relocated

10 or fewer

11-50

51-100

101-200

201-499

500 or more

5.	If you're a RETAIL CHAIN, please answer questions A-E: A: Please indicate your type of retail chain. (select only one)

Department Store Chain Home Furnishings Chain

Discount/Mass. Merchant Chain Sporting Goods Chain

Apparel Chain Jewelry Chain

Automotive Chain Shoe Chain

Restaurant/Fast Food Chain Toy/Craft/Hobby Chain

Consumer Electronics Chain Books/Video/Music Chain

Supermarket Chain Entertainment Chain

Convenience Store Chain Office Supply Chain

Drug Store Chain Other (please specify)

Hardware Chain

B: Please indicate the number of stores in the entire chain: (select only one)

10 or fewer 401-700

11-50 701-1,000

51-200 1,001-2,000

201-400 2,001- or more

C: Please indicate where you are based: (select only one)

Headquarters Store Location

Regional Office Other (please specify)

Divisional Office

D: Please indicate the site type(s) of your chain's stores. (select all that apply)

Shopping Mall Mall Outlet

Strip Shopping Center Freestanding

E: Over the next 12 months, how much will your company spend on each category listed below for which you have purchasing responsibility or authority: (select only one)

Facilities Management New Construction/Renovation

Up to $1,000,000

$1,000,000 to $4,999,999

$5,000,000 to $9,999,999

$10,000,000 to $49,999,999

$50,000,000 to $99,999,999

$100,000,000 or more

No Spending

6.	In lieu of a signature, we require a unique identifier used only for subscription purposes. What is the first letter of the city in which you were born?

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