| |
| 1. | Do you wish to receive a FREE subscription to appliance DESIGN? |
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/Mail Stop: |
|
| 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: |
|
| |
You will receive subscription and renewal notices from BNP Media via email. |
 |
| 2. | Optional: If you want delivery to your home or Business P.O. Box, please complete the area below. |
| Home Street Address or P.O. Box: |
|
| City: |
|
| State/Province: |
|
| Zip/Postal Code: |
|
| Country: |
|
| | 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, BNP Media requires a unique identifier used only for subscription verification purposes. How many letters in your father's first name? |
| 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: (select only one) |
Print Version of appliance DESIGN (FREE for USA residents only)
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. |
| | What best describes your firm? (select only one) |
Please specify for Other:
| | What is your principal activity? (select only one) |
| | Please check ONE of the following that best describes your title: (select only one) |
Please specify for Other:
| | I have the authority to specify, approve or buy the following: (select all that apply) |
| Process Systems and Equipment |
Pumps, Valves, Seals, Packing and Related Products |
| Piping, Fittings and Related Products |
Flow, Pressure and Level Measuring Equipment and Accessories |
| Chemicals, Biochemicals and Handling Equipment |
Sampling and Analyzing Equipment and Instrumentation |
| SCADA (Supervisory Control & Data Acquisition) |
Engineering, Construction, Operational and Maintenance Services and Equipment |
| Corrosion Control Systems and Materials |
Laboratory Equipment, Supplies and Services |
| Electrical and Mechanical Equipment |
Filtration Equipment |
| Computers - Hardware and Software |
Stormwater Related Products |
| Security and Safety Equipment |
None of the Above |
| Structures, Storage Facilities and Related Products |
|
| | In order to verify your on-line subscription request, Scranton Gillette Communications is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is the first initial of your father's name? |
| |
 | I wish to receive a FREE subscription to Wire Journal International. Wire Journal International is the leading technical publication for the wire and cable industry. Published monthly, WJI is written for executives, engineers, technical and sales professionals, and purchasing agents engaged in the manufacture of ferrous and nonferrous wire and cable; electrical wire and cable; fiber optic cable; and formed and fabricated wire products. Editorial coverage includes management, marketing, and manufacturing methods, as well as technical developments related to drawing, extruding, rolling, forming and fabricating wire and wire products. Note: Offer Valid in USA, Canada, Mexico, Selected International Countries. |
Please specify your address type:
Home
Business
| | Which ONE of the following best describes your company's type of business? |
Please specify for Other forming and fabricating:
| | Which ONE of the following best describes your primary job function? |
Please specify for Other:
| | Required in lieu of a signature. Your eye color: |
| |
 | I wish to receive a FREE digital subscription to POWER. POWER magazine covers business and technology for the global generation industry. Published since 1882 and read by managers and engineers, POWER is the oldest and most trusted source of information in the energy industry. Coverage includes boilers and combustion systems, environmental management; instrumentation, controls, computers, and software; information technologies; natural gas, oil, coal, and renewable fuels; nuclear power; pumps, compressors, valves, and piping; turbines, engines, and generators; water treatment. Note: Offer Valid in USA, Canada, Selected International (Digital Edition Only). |
 |
| | Security Check: Enter both words below, separated by a space. |
|
|