| |
| 1. | Do you wish to receive a FREE subscription to Government Technology's Public CIO? |
Yes
No
| 1a. | Which Government Technology's Public CIO Magazine delivery version would you like to receive? |
Digital Version
Print Version
Yes, please auto-fill my contact information for other publication qualification forms.
| | What is the approximate number of employees in your company? (select only one) |
| 2. | For audit purposes and in lieu of a signature, would you note the month of your birth in the following field? This information is for verification purposes only. It will not be shared with any outside parties. |
| 3. | Branch of Government: (select only one) |
| 4. | Which category BEST describes your JOB FUNCTION/CLASSIFICATION? (select only one) |
| 5. | What is the primary FUNCTION of your AGENCY/DEPARTMENT? (select only one) |
 |
| 6. | What is your scope of involvement/influence you have in the purchase, selection or recommendation of information technology products and/or services? (select only one) |
Entire Enterprise or Jurisdiction
Agency/Department
| 7. | What is your organization's annual budget for information services, including computers and communications hardware, software, consulting, and staff? (select only one) |
| 8. | What AREA OF TECHNOLOGY are you most involved with? (select only one) |
| | 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. |
|
|