| |
| 1. | Do you wish to receive a FREE digital subscription to Reinforced Plastics? |
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: |
|
| Country: |
|
| |
(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
| Phone: |
|
| Fax: |
|
| Email: |
|
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | Which of the following best describes your job function? (select only one) |
| 3. | Which of the following composite moulding techniques do you use or specify? (select all that apply) |
| 4. | Which of these activities is your company involved in? (select only one) |
| 5. | Select the ONE category that most closely describes the main type of composite parts your company produces or uses. (select only one) |
| 6. | Which of the following will you/your company purchase, recommend or authorize in the next 12 months? (select all that apply) |
| 7. | Approximate budget for the above? (select only one) |
| Under $5,000 |
$50,000 - $99,999 |
| $5,000 - $9,999 |
$100,000 - $199,999 |
| $10,000 - $49,999 |
$200,000+ |
| 8. | Your company size (number of employees at your site)? (select only one) |
| 9. | Would you like to receive Reinforced Plastics Weekly - a free electronic newsletter on composites? |
Yes
No
| 10. | Normally, the auditors who verify Elsevier Limited's circulation require you to sign the registration card to validate your free subscription, but this is not possible on a web page. Instead they ask a qualifying question that must be answered: What are the last two digits of the year of your birth? |
| 11. | The information that you provide on this form will be used only by Elsevier - The Boulevard, Langford Lane, Kidington, OX5 1GB, UK - and its affiliates worldwide to keep you up-to-date with Elsevier's composites related products and services and will not be sold, rented or distributed to any non-affiliated third parties without prior permission. With your consent, your contact details may, from time to time, be used to communicate to you promotional and other information regarding Elsevier's products and services. |
Please tick the boxes which apply if you do not wish to receive special offers and promotional material from Elsevier concerning Elsevier and affiliated composites products and services:
Please tick the boxes which apply if you do wish to receive special offers and promotional material concerning products and services from non-affiliated third parties:
| | 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. |
Yes! I would like to receive communications via email, mail or phone relating to Adobe and its affiliates' products and services including product releases, product upgrades, seminars, events, training, and special offers. Adobe, its affiliates, and agents may use data I have provided in accordance with the Adobe Privacy Policy.
| | Job Function: (select only one) |
| | Industry: (select only one) |
| | What is the approximate number of employees in your company? (select only one) |
| | Security Check: Enter both words below, separated by a space. |
|
|
