| |
| 1. | Do you wish to receive a FREE digital subscription to Total Telecom? |
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) |
| Address: |
|
| Division/Department: |
|
| Town/City: |
|
| State: |
|
| Post Code: |
|
| Country: |
|
| |
(Note: If your country is not listed above, subscriptions are not currently available at your location.) |
| Telephone: |
|
| Fax: |
|
| Email: |
|
| |
(Note: Valid email address is required or you could be disqualified.) |
Terrapinn (or its agents) may contact you by mail, phone or email about products and services offered by Terrapinn and its group companies, which Terrapinn believes may be of interest to you, or about relevant products and services offered by reputable third parties. Terrapinn may also disclose your contact details to such third parties to enable them to contact you directly. Certain entities to which Terrapinn discloses your contact details are located in territories overseas which have fewer legal safeguards to protect personal data. By submitting this form to Terrapinn, you agree to their processing of your personal information in this way.
Please select the appropriate boxes:
If you do not wish to receive such information from Terrapinn group via:
Post
Phone
Fax
If you do wish to receive such information from Terrapinn group via:
Email
Mobile
If you do not wish to receive such information from reputable third parties via:
Post
Phone
Fax
If you do wish to receive such information from reputable third parties via:
Email
Mobile
| | What is the approximate number of employees in your company? |
Yes, please auto-fill my contact information for other publication qualification forms.
| 2. | Which best describes your job title? (select only one) |
| 3. | What is your main job function? (select only one) |
| 4. | Are you personally responsible for purchasing/recommending/specifying/authorizing or influencing the purchase of communication related equipment or services? |
Yes
No
| 5. | Which of the following products/services are you personally responsible for purchasing/recommending/specifying or authorizing? (select all that apply) |
| 6. | Which of the following best describes your primary business activity? (select only one) |
| 7. | Normally, the auditors who verify Terrapinn Holdings Ltd'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 personal qualifying question that must be answered. What are the first 2 letters of your mothers Maiden Name? Your response will be kept strictly confidential and only released to the official audit bureau on request. |
| | 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. |
| |
 | I wish to receive a FREE subscription to Wire Journal International. Wire Journal International is the leading technical publication for the wire and cable industry. Published monthly, WJI is written for executives, engineers, technical and sales professionals, and purchasing agents engaged in the manufacture of ferrous and nonferrous wire and cable; electrical wire and cable; fiber optic cable; and formed and fabricated wire products. Editorial coverage includes management, marketing, and manufacturing methods, as well as technical developments related to drawing, extruding, rolling, forming and fabricating wire and wire products. Note: Offer Valid in USA, Canada, Mexico, Selected International Countries. |
Please specify your address type:
Home
Business
| | Which ONE of the following best describes your company's type of business? |
Please specify for Other forming and fabricating:
| | Which ONE of the following best describes your primary job function? |
Please specify for Other:
| | Required in lieu of a signature. Your eye color: |
| |
 | I wish to receive a FREE subscription to Mission Critical. Mission Critical is issued every month to provide you with practical solutions to all manner of issues facing the data center designer, manager, owner and operator. This includes rising energy cost, increasing heat loads, emergency backup solutions, security, cable management, virtualization and disaster recovery. Note: Offer Valid in USA (Print or Digital Versions), Canada, Mexico, International (Digital Version Only). |
| | Please check your preferred format: (select only one) |
Print Version of Mission Critical (FREE) (50 US States Only)
Digital Version of Mission Critical (FREE) (USA, Canada, Mexico or International)
* By providing your fax number, you are giving BNP Media permission to send you subscription faxes.
| | Which of the following best describes your title? (select only one) |
| Management: Corporate Officer, Owner, Consultant, Information Technology Officer, VP Data Management Center, VP Facility Engineering, VP Building Services, Data Management Officer, Internet Developer/Operator |
| Operations Management: Buildings, Property, Facilities, Physical Plants |
| Engineering & Engineering Management: Mechanical Engineer, Electrical Engineer, Consulting Engineer, Specifying Engineer, Engineering Manager, Engineering Staff |
| Other (please specify) |
| | Which of the following best describes your business/industry? (select only one) |
Please specify for Other.
| | Would you like to receive the Mission Critical e-newsletter for FREE? |
Yes
No
| | In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. What is your date of birth? |
 |
| | Security Check: Enter both words below, separated by a space. |
|
|