Underground Construction Free Subscription

	*Underground Construction* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Underground Construction*, 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, Canada

1.	*Do you wish to receive a FREE subscription to Underground Construction?*

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Company:
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What is the approximate number of employees in your company? (select only one)

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2.	*How would you like to receive your copy of Underground Construction?*

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3.	Please select the category which best describes your company's activity. (select only one)

Utility Contractor (Water & Sewer) Municipality/Public Works (Water, Sewer, etc.)

Pipeline Contractor (Oil & Gas) Telecom/Cable Company

Cable Contractor Electric Company

Gas Distribution Contractor Design/Construct including Engineering Company

Sub-contractor Other (please specify)

Gas Utility Company/Pipeline Transmission Co

4.	Please select your job title/job function. (select only one)

Owner Engineer

President/Director Public Works Director/Manager

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General Manager Office Manager

Manager Foreman & Assistant

Superintendent Other (please specify)

Supervisor

5.	My company is involved in trenchless construction methods.

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6.	What is your company's annual construction volume? (select only one)

Over $50 Million $3,000,001 to $10 Million

$25,000,001 to $50 Million $1,000,001 to $3 Million

$10,000,001 to $25 Million Under $1 Million

7.	What is the estimated replacement value of equipment owned? (select only one)

Over $25 Million $1,000,001 to $2.5 Million

$10,000,001 to $25 Million $500,001 to $1 Million

$5,000,001 to $10 Million $100,001 to $500,000

$2,500,001 to $5 Million Under $100,000

8.	*May Underground Construction* use email to contact you about other product offerings?**

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9.	What city were you born in? (This question acts only as a verification to confirm that you personally requested the subscription.)

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