| |
| 1. | Do you wish to receive a FREE subscription to Med-Tech Precision? |
Yes
No
Yes, please auto-fill my contact information for other publication qualification forms.
| | Which of the following best describes your industry? (select only one) |
Please specify for Other:
| | What is the approximate number of employees in your company? (select only one) |
| 2. | Please check the businesses that you are involved in: (select all that apply) |
| 3. | Primary Job Function: (select only one) |
| 4. | In order to verify your on-line subscription request, Canon Communications LLC is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is your eye color? |
| | 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. |
| | Which of the following best describes your industry? (select only one) |
Please specify for Other.
| | Which of the following is closest to your job function? (select only one) |
Please specify for Other.
| | What is the number of employees in your entire organization? (select only one) |
| | In addition to communications that may result from this inquiry, would you also like to receive news and event notifications from SAP that are specific to your interests? |
| |
Which of the following is closest to your job function? |
|
| |
What is the number of employees in your entire organization? |
|
| |
Number of employees: |
|
| |
Type(s) of installations: (select all that apply) |
|
| |
Systems/Products currently installed: (select all that apply) |
|
| |
In which ways may United Publications contact you regarding your subscription? (please indicate all acceptable ways.) |
|
| |
In lieu of a signature, Audit Bureau regulations require that United Publications ask a validation question as proof of your request to subscribe. Please enter your response to the Personal Identifying Question below. From 1 through 31, what date in the month were you born? |
|
| |
Which animals do you work with? (select all that apply) |
|
| |
Which products do you use? (select all that apply) |
|
 |
| | Security Check: Enter both words below, separated by a space. |
|
|