Security + Life Safety Systems Free Subscription

	*Security + Life Safety Systems* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Security + Life Safety Systems*, 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 Security + Life Safety Systems?*

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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:
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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.	Primary business of your company: (select only one)

(A) EDUCATION (D) PUBLIC PLACES cont.

K-12 Education Management (includes district, board, or other district management) Transportation

College, University, Community College Management National/State Parks

Other Educational Services Other Public Place Services

(B) HEALTHCARE (E) HOTELS/RESORTS/GAMING

Hospital 100+ beds Hotel, Resort

Nursing Home, Long-term Care Facility Gaming Facility

Other Healthcare Services Other Hospitality

(C) GOVERNMENT Other Hotel/Resort/Gaming Services

National Security, Environmental, Civil Defense (F) FINANCIAL

Airport, Seaport Authority, Coastal Security Banking: Commercial, S&L, etc.

Law Enforcement Brokerage, Securities Brokerage

Fire, Life Safety Protection Insurance: Life Insurance, Property, Casualty, Health, Accident

Prison, Correctional Other Financial Services

Military Security (G) SYSTEMS INTEGRATION DESIGN/CONSULTING

Other Government Services Architecture, Engineering, Consulting Management

(D) PUBLIC PLACES Security, Life Safety Integration, Consulting Management

Stadiums Systems Consulting, Design Management

Museums Other Systems Integration Design/Consulting Services

Amusement/Theme Parks (H) Other (please specify)

3.	Primary job title or function: (select only one)

Senior Level Corporate Management: President, Director, VP, Chairman etc. Architecture, Engineer, Consulting Management

Management: Manager, Assistant Manager, Security Manager, Facilities Director Project Manager, Consulting, Superintendent, Specifier etc.

Systems Integrator, Designer Other (please specify)

4.	CHECK ALL of the Building Components you or your Company specifies, recommends or installs: (select all that apply)

Security (includes CCTV, Access, Motion, Intrusion Systems) Power Quality Systems (Standby, Co-gen, etc)

Fire Life Safety Systems Communication Systems (Voice, Video, Data)

Total Building Automation Systems Premises Wiring

Fiber Optics None of the Above

Maintenance, Service, Repair

5.	In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the month in which you were born. What month were you born in?

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