Tire Business Free Subscription

	*Tire Business* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Tire Business*, 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.
	Geographic Eligibility: USA

1.	*Do you wish to receive a FREE subscription to Tire Business?*

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First Name:
Last Name:
Your Position/Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
	Business
	Home
City:
State:
Zip/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Telephone Number:
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Email Address:
	(Note: Valid email address is required or you could be disqualified.)

I prefer not to receive information by mail from other companies not affiliated with Tire Business.

Which of the following is closest to your job function? (select only one)

Please specify for Other:

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.

2.	Please check your primary type of business at this location: (select only one)

Independent tire dealers who sell and service tires, including retail and wholesale, retreaders, importers/exporters, commercial tire dealers, and multi-location tire dealers

Single Unit

Multiple Unit

Non-Tire Manufacturing Franchise

Company owned outlets of tire manufacturers

Company owned outlets of non-manufacturing tire sellers

Headquarter offices of non-manufacturing tire sellers, service stations, oil and automotive jobbers, and specialty tire shop/jobbers handling equipment and materials for retreaders and tire dealers

Manufacturers of tires, batteries, and accessories

Others allied to the tire and automotive field (please specify)

Answer questions 3-6 only if you are an independent tire dealer.

3.	Does your company retread at this location?

Yes No

4.	What is your annual sales volume? (select only one)

Less than $599,999 $2,500,000 to $4,999,999

$600,000 to $999,999 $5,000,000 to $9,999,999

$1,000,000 to $1,499,999 $10,000,000 and over

$1,500,000 to $2,499,999 Unknown

5.	Check if you sell at this location: (select all that apply)

Commercial Tires Farm Tires

Specialty Tires Wheels

6.	Do you sell wholesale tires at this location?

Yes No

7.	In lieu of a signature, Crain Communications, Inc requires a personal identifying question. What is the month in which you were born?

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.