| |
| 1. | Do you wish to receive a FREE subscription to appliance DESIGN? |
Yes
No
 |
| 2. | Optional: If you want delivery to your home or Business P.O. Box, please complete the area below. |
| | 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.
| 3. | In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is your date of birth? |
| 4. | 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. We will not share this information or use it for any other purpose. Would you like to receive subscription faxes sent by appliance DESIGN/BNP Media? |
Yes
No
| 5. | Would you like to receive the appliance DESIGN e-newsletter FREE of charge? |
Yes
No
| 6. | Please check your preferred format: |
Print Version of appliance DESIGN (FREE)
Digital Version of appliance DESIGN (FREE)
| 7. | Would you like to receive International Appliance Manufacturing for FREE? |
Yes
No
| | Please check your preferred format of International Appliance Manufacturing? |
Digital
Print
| 8. | Check the category that best describes your primary job function. (select only one) |
| 9. | Please check the one category that best describes the primary business activity at your location. (select only one) |
| 10. | In the performance of my job, I recommend, specify, approve or purchase the following types of products listed below. (select all that apply) |
| Switches, Relays, Thermal Cutoffs, Circuit Breakers, Fuses |
Microcontrollers, Integrated Circuits & Other Electronic Components |
| Displays, Indicators, Lamps, LEDs |
Test & Measurement Equipment, Testing & Certification Labs/Services |
| Metals (Steel, Aluminum, Copper, Precoated/Prefinished Metals) |
Plastics, Elastomers |
| Metal Parts (Stamping, Casting, Powder Metal Parts, Springs, Hinges) |
Plastic Molding/Forming Services |
| Assembly Equipment & Tools, Welders, Clinching Machines, Brazing Machines, Fasteners, Dispensing Equipment, Adhesives & Tapes |
Heating Elements/Igniters |
| Motors, Fans, Blowers, Pumps, Motor Controllers |
Solenoids, Valves, Actuators |
| Controls, Sensors, Thermostats |
Connectors, Cords, Wire, Cable, Terminating Machines |
| Decorative Products (Trim, Nameplates, Glass Labels, Graphic Overlays) |
Other (specify) |
| Coatings, Paints, Finishing & Finishing Equipment |
|
| Seals, Gaskets, & Gasketing Equipment |
None of the above |
| Software |
|
 |
| 11. | Check the publication(s) listed below that you receive personally. (select all that apply) |
| | 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
| |
Related FREE Offers from TradePub.com: Check those you wish to receive. |
| |
 | Qualify for Your Eight Free Trial Issues of Automotive News! For more than 80 years Automotive News has been the leading source of news for the North American automotive industry. Distributed every week to more than 79,000 subscribers, it covers the manufacturing side of the automotive industry, including engineering, design, production and suppliers, with equal emphasis on the retail side of the industry, including the marketing, sales, service and resale of vehicles. If you like Automotive News, pay the special discounted rate of $155 for 44 more issues, for a total of 52 issues. That is less than $3 per issue. Otherwise, write "cancel" on the bill, return it, and owe nothing. |
|
|