Waste Management World Free Subscription

	*Waste Management World* is free to qualified professionals. Summary Description
	To apply for a FREE digital subscription to *Waste Management World*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free digital subscriptions.
	Geographic Eligibility: International

1.	*Do you wish to receive a FREE digital subscription to Waste Management World?*

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:
City:
State/Province:
Zip/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Email Address:
Business Phone:
Business Fax:

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

2.	Type of company or organization? (select only one)

Waste management equipment supplier/manufacturer Waste/environmental regulation/policy

Waste management contractor/operator Waste management consultancy

Industrial waste management Financial institution concerned with waste

Health authority Trade organization/association/NGOs

Facility management Research or training establishment

Local/municipal government Other (please specify)

Central government

3.	What is your job function? (select only one)

Management / administration Consultancy

Operations Other (please specify)

Engineering / maintenance

Sales / marketing

4.	What is your purchasing influence for waste management products and services? (select only one)

Authorize Specify None

5.	What is the value of waste management products and services you authorize or specify per year? (select only one)

Up to $100,000 Up to $5,000,000

Up to $500,000 Over $5,000,000

6.	What is the number of employees at your establishment? (select only one)

1-9 100-499

10-49 500-999

50-99 1,000+

7.	In lieu of a signature, PennWell Corporation requires a personal identifier. To verify that you submitted this application please tell them the month in which you were born.

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* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.

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