CustomRetailer
  CustomRetailer is free to qualified professionals. Summary Description
  To apply for a FREE subscription to CustomRetailer, 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 CustomRetailer?
Yes     No


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
(Please provide your Company Name in full: abbreviations could disqualify you)
Dept/Mail Stop/Suite:
Address:
City:
State, Province or Territory:
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(Note: If your country is not listed above, subscriptions are not currently available at your location.)
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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. Is your company involved in custom installations?
Yes     No


3. What is your primary business? (select only one)
Custom Installer AV Consultant
Retailer Manufacturer's Rep
System Integrator Broadband Service Provider
Builder/Developer/Architect Other (please specify)
Distributor


4. What is your primary job function? (select only one)
Business Management Sales Staff
Systems Design/Installation Management Contracting/Architecture
Systems Design/Installation Staff Project Management
Buying Consultant
Sales/Marketing Management Other (please specify)


5. What type of products and services do you specify/recommend and/or purchase? (select all that apply)
Alarm Systems Mobile Electronics
Access Control Monitoring Services
Audio Components Power Protection
Audio/Video Distributions Satellite Systems
Cable, Fiber Wire & Connectors Software
CCTV Systems Structured Wiring Systems
Central Vacuum Telephone & Intercom
Computers Video Components
Furniture Lighting Control
Home Control/Automation Window Covering Controls
Home Networks Other not listed (please specify)
Home Theater
HVAC Control None


6. Which of the following markets does your company serve? (select only one)
Residential     Commercial     Both     None


7. Please check the total annual custom installation sales volume of your company. (select only one)
Over $10 million $500,000 to $999,999
$5,000,000 to $9,999,999 $250,000 to $499,999
$1 million to $4,999,999 Less than $250,000


8. Would you like to receive CustomRetailer E-Weekly, a FREE weekly email newsletter?
Yes     No


9. How would you like to receive your copies of CustomRetailer?
Print     Digital     Both


10. In lieu of a signature, we require a unique identifier used only for subscription verification purposes. In what state were you born?


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  Business Type: (select only one)
Ad Network, Rep Firm or Exchange Metrics or Analytics Technology or Service Provider
Ad Serving Technology or Service Provider Mobile Marketing Technology or Service Provider
Advertising or Media Buying Agency Online Publisher or Digital Media Provider (Bloggers, too!)
Affiliate Marketing Technology or Service Provider Online Publishing Technology or Service Provider
Brand Marketer Research Provider
Creative Agency or Creative Services Provider Rich Media Technology or Service Provider
E-Commerce Technology or Service Provider Search Engine Marketing Agency
E-Commerce Site Search Technology/Service Provider
Email Technology or Service Provider Social Media Technology or Service Provider
Gaming Technology or Services Provider Video Technology or Service Provider
Human Resources Management Web Infrastructure Services (Hosting, Site Testing, etc.)
Industry Association Other (please specify)
Investment Company

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  Which of the following best describes your industry? (select only one)
Agriculture Government
Apparel Healthcare
Banking Hospital
Biotech Investment
Chemical Manufacturing
Electronics Shipping
Energy Technology
Engineering Telecommunications
Entertainment Transportation
Environmental Utilities
Finance Other (please specify)
Food and Beverage
  Which of the following is closest to your job function? (select only one)
President/C-level Manager Engineer/Researcher/Scientist
VP Marketing/Sales/Operations/Business Development Business/Sales Staff
VP Engineering/Research/Technology Educator
Manager/Director - Marketing/Sales/Operations/Business Development Professional Services/Consultant
Manager/Director - Engineering/Research/Technology Other (please specify)
  What is the number of employees in your entire organization? (select only one)
less than 50 1,000-4,999
50-99 5,000-9,999
100-499 10,000-19,999
500-999 20,000+
  Are you a VAR or End User?
VAR     End User

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  What is your job title? (select only one)


Please specify for Other:
  What best describes your network? (select only one)
  When are you looking to implement a vulnerability management solution? (select only one)


     

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Copyright © 2008 CustomRetailer, All Rights Reserved.