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| 1. | Do you wish to receive a FREE subscription to Total Landscape Care? |
Yes
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| | 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. | In lieu of a signature, we require a unique identifier used only for subscription verification purposes. On what day of the month were you born? |
| 3. | What is your primary business at this location? (select only one) |
| 4. | Which of the following best describes your title? (select only one) |
| Executive/Administrator - President, Owner, Partner, Director, General Manager, Chairman of the Board, Purchasing Agent |
| Manager/Superintendent - Arborist, Architect, Landscape/Grounds Manager, Superintendent, Foreman, Supervisor |
| Government Official - Government Commissioner, Agent, Other Government Official |
| Specialist - Forester, Consultant, Agronomist, Pilot, Instructor, Researcher, Horticulturist, Certified Specialist |
| Other (please specify) |
| 5. | What services does your business offer? (select only one) |
| 6. | My firm's annual revenue is: (select only one) |
| Less than $500,000 |
$1,500,000 to $1,999,999 |
| $500,000 to $999,999 |
$2,000,000 to $4,000,000 |
| $1,000,000 to $1,499,999 |
More than $4,000,000 |
| 7. | In the performance of my job, I have the authority to specify, select and/or approve acquisition of the following: (select all that apply) |
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| | Which of the following best describes your industry? (select only one) |
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