Appliance Free Subscription

	*Appliance* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Appliance*, 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.
	U.S. (print only) International (digital only)

1.	*Do you wish to receive a FREE subscription to Appliance? USA (print only) International (digital only)*

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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)
Address:
Mail Stop:
City:
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Country:
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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.	*Do you wish to receive promotional materials from Appliance* or related industry suppliers via email?**

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3.	Please check your primary job title: (select only one)

Engineering & Design Administrative/Corporate Management

Manufacturing/Production Marketing, Sales & Services

Purchasing & Procurement Other (please specify)

4.	What is your primary business activity at this business location? (select only one)

A/C & refrigeration equipment Heating equipment

Household cooking equipment Household laundry equipment

Electric houseware Consumer electronics equipment

Water processing appliances Commercial appliances & vending

Business equipment Health & Medical appliances & related products

Appliance motors & controls Appliance materials & non-electric components

Other appliance related manufacturing Food service companies

Design & engineering firm Other (please specify)

All others not in class (independent labs, trade assoc.)

5.	Please check the products that you are involved in recommending, specifying, or purchasing in any way for your company. (select all that apply)

Fasteners Plastics/non-metallic materials

Metals Metal parts, components, trim

Non-metallic parts & components Controls/sensors

Cords/cord sets Motors/air-moving devices

Finishing/metal prep. materials Finishing equipment

Assembly equipment Metalworking equipment

Testing equipment Packaging/material handling equipment

Packaging Material CAD/CAM Software

Services & Misc. Other

6.	Number of employees at this location: (select only one)

1 - 19 500 - 1,000

20 - 99 Over 1,000

100 - 499

7.	What is the end product manufactured or service performed at this location? (select only one)

AC & Refrigeration Equipment Business Equipment

AC & commercial refrigeration Computers

Household refrigerators & freezers Computer terminals

Blowers & fans Typewriters & word processors

AC & heating grills/registers Scales & balances, except laboratory

Consumer Electronics Equipment Computer peripheral equipment

Household audio & video equipment Computer storage devices

Telephone equipment Photographic equipment & supplies

Door chimes, cord sets Metal household furniture

Radio & TV communications equipment Metal office furniture

Lighting fixtures Metal partitions, furniture, shelving

Other Appliance-related Manufacturing Appliance Materials & Non-electrical Components

Metal stampings Adhesives/sealants, metals, plastics

Fabricated metal products Design & Engineering Firm

Cast iron cooking utensils Engineering Services

Aluminum cookware Food Service Companies

Porcelain enamel, paint, coil coating Food service companies

Health & Medical Appliances & Related Products Household Cooking Equipment

Surgical & medical instruments Household cooking equipment

Laboratory apparatus & furniture Electric Houseware

Optical instruments & lenses Lawn & garden equipment

Measuring & controlling devices Electrical housewares & fans

Electro medical & electrotherapeutic App. Power-driven hand tools

Ophthalmic goods Burglar, fire & smoke alarms

Photographic equipment & supplies Vacuum Cleaners

Watches, clocks Commercial Appliances & Vending

Fitness equipment Commercial-cooking, dishwashers, vacuums

All Other not Classified Above Automatic vending machines

Metal services center & offices Commercial laundry equipment

Printing, publishing, & allied industries Food products machinery

Retail distributors Calculating & ATM machines

Trade associations Measuring & dispensing pumps

Research, development & testing services Electric hair clippers & hair dryers

Heating Equipment Appliance Motors & Controls

Heating Equipment, except electrical Motors & generators

Household Laundry Equipment Transformers, except electronic

Household laundry equipment Drawing & insulating of nonferrous wire

Water Processing Appliances Relays

Dishwashers, disposers, water heaters Capacitors & condensers

Stainless steel sinks Switches

Pumps & pumping equipment Semiconductors & related devices

Whirlpool Spas Circuit boards & power supplies

Controls

8.	In order to verify your on-line subscription request, we are required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What state were you born in?

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

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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.