WorkBoat Free Subscription

	*WorkBoat* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *WorkBoat*, 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 WorkBoat?*

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Company Name:
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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.	What is your primary occupation: (select only one)

Owner, operator, manager, captain, chief engineer of a commercial vessel

Owner or manager of a yard for vessel construction, conversion and/or repair

Independent Professional: Naval architect, marine engineer, surveyor, consultant, diver, admiralty lawyer, insurance or bank professional, agent, broker or professional association (please specify):

Municipal, state, federal, university official; independent port or waterway authority manager; personnel of US Coast Guard, US Army Corps of Engineers or US Navy associated with workboats principally under 400 feet

Offshore drilling/mining contractor, management at oil, gas, mineral, geophysical engineering or exploration company, production or drilling superintendent

Pollution control/oil spill recovery

Others allied to the field

3.	What is your company's primary vessel type: (select only one)

Inland and/or coastal waters vessels including tugs, pushboats/ towboats, pilot boats, all types of barges, dredges and salvage vessels

Offshore service or supply vessels, crewboats, utility boats or liftboats, commercial-dive boats

Excursion, dinner, ferry boats, scuba dive or charter boats

Government vessels, including: patrol craft, cutters, buoy tenders, dredges, pushboats/towboats, fire boats, all types of barges, dredges or salvage vessels

Research vessels of all types

Coastal and Great Lakes freighters or tankers

Marine construction vessels

Other (please specify)

4.	What is the primary vessel size of your companys vessels: (select only one)

100' and under 201' - 400'

101' - 200' Over 400'

5.	How many vessels do you or your company own or operate? (select only one)

26 or more 4 - 6

11 - 25 1 - 3

7 - 10

6.	What are your purchasing/specifying responsibilities? (select only one)

Direct Buyer Approve

Specify Recommend

7.	In order to verify your request for this publication, without the availability of a signature our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request. What town/city were you born in?

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