Bank Systems & Technology Free Subscription

	*Bank Systems & Technology* is free to qualified professionals. Summary Description
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	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 Bank Systems & Technology?*

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First Name:
Last Name:
Job Title:
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Company Name:
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Dept/Mail Stop/Suite:
Business Address:
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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?

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

Commercial Bank Credit Card Affiliate of a Bank

Savings Bank Non-Bank Financial Institution

Mortgage Bank Other (please specify)

Credit Union

Trust Company

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)

Application Development Mobility / Wireless

Architecture / Infrastructure Networks & Connectivity

Business Process Management Outsourcing

Cards Payments

Compliance Retail Banking

Data Center Risk Management

Data Management Security

Distributed Computing Treasury / Cash Management

Distribution / Delivery Channels Voice Networks

Hardware None of the Above

Lending

7.	Is your firm a non U.S. bank?

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8.	Please indicate your firm's total assets: (select only one)

Over $50 Billion $500 Million - $999 Million

$10 Billion - $49.9 Billion Under $499 Million

$1 Billion - $9.9 Billion

9.	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

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What is the number of employees in your entire organization? (select only one)

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100-499 10,000-19,999

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