Wall Street & Technology Free Subscription

	*Wall Street & Technology* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Wall Street & Technology*, please answer ALL of the questions on the form below.
	The 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 Wall Street & Technology?*

Yes No

First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Dept/Mail Stop/Suite:
Business Address:
City:
State Province or Territory:
Zip/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email Address:
	(Note: Valid email address is required or you could be disqualified.)

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

2.	In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What State were you born in?

3.	Do you approve or influence the purchase of technology products and/or services?

Yes No

4.	What is your primary business? (select only one)

Broker/Dealer (sell-side) Exchange / ATS

Investment Banking (sell-side) Clearing & Settlement

Asset Management / Wealth Management (buy-side) Other (please specify)

Hedge Fund (buy-side)

5.	What is your primary Job Title? (select only one)

CORPORATE MANAGEMENT DIVISION / DEPARTMENT MANAGEMENT cont.

CEO/Chairman/President Division Head / Manager

Chief Operating Officer Operations Manager

Chief Financial Officer Line of Business Manager

Chief Compliance, Risk, Security or Data Officer Other Division / Department Management (please specify)

Other Corporate Management (please specify)

IT MANAGEMENT

SENIOR BUSINESS MANAGEMENT CIO / CTO

EVP, Partner, Head of Business Unit EVP, Head of Technology

SVP, Managing Director SVP, Managing Director

Vice President (other than IT management) VP, Director, Manager

Director (other than IT management) Other IT Management (please specify)

Other Senior Management (please specify)

Other (please specify)

DIVISION / DEPARTMENT MANAGEMENT

Department Manager

6.	Please specify the area(s) of the business you work in and/or where you have purchasing influence. Please indicate ALL of the following functional areas you influence or have purchasing recomendations for? (select all that apply)

Analytics Mobility / Wireless

Application Development Networks & Connectivity

Architecture / Infrastructure Operations

Asset Management Outsourcing

Business Process Management Risk Management

Compliance Security

Data Management Trading

Distributed Computing Voice Networks

Hardware None of the Above

7.	What is the annual dollar value of your company's Information Technology expenditure? (select only one)

$1 Billion or Over $1 - $99 Million

$500 - $999 Million $500,000 - $999,999

$100 - $499 Million Under $499,999

8.	How many employees are in your organization? (select only one)

20,000 or More 500 - 999

10,000 - 19,999 300 - 499

5,000 - 9,999 100 - 299

2,500 - 4,999 50 - 99

1,500 - 2,499 Under 50

1,000 - 1,499

Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?

Yes No

Sign up for special offer alerts from select partners featuring the latest products and services you are interested in.

Yes No

Security Check: Enter both words below, separated by a space.

* 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.