HVACR Business Free Subscription

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

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First Name:
Last Name:
Job Title:
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Dept/Mail Stop/Suite:
City:
State:
Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, distribution is not currently available at your location.)
Phone:
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Email:
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Yes, please auto-fill my contact information for other publication qualification forms.

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

2.	*Do you wish to receive Ahead of the Curve* E-Newsletter?**

Yes, I wish to receive Ahead of the Curve E-Newsletter. No, thanks.

3.	Which category best describes your firm's business activity? (select only one)

Contractor Manufacturer

Wholesaler/Distributor Other (please specify)

Manufacturer's Representative

4.	Do you personally design, specify, recommend, or buy products for mechanical systems?

Yes No

5.	Which of the following types of work does your firm perform? (select all that apply)

Air Conditioning/Ventilation Ice Makers

Refrigeration Controls

Warm Air Heating IAQ

Hydronic (Wet) Heating Energy Management

Piping Service

Sheet Metal Fab Duct Fabrication

Air-handling Other (please specify)

6.	Number of employees at this location? (Annual average includes myself) (select only one)

1-4 51-99

5-8 100+

9-16 Other (please specify)

17-25

26-50

7.	Which range properly describes your approximate annual sales volume? (select only one)

Under $100,000 $1,000,000 - $2,499,999

$100,000 - $249,000 $2,500,000 - $4,999,999

$250,000 - $499,999 $5,000,000 - $7,499,999

$500,000 - $749,000 $7,500,000 - $9,999,999

$750,000 - $999,999 $10,000,000 and over

8.	Select one category below that best describes your job function. (select only one)

Owner/Partner Sales/Sales Management

Corporate Management Other (please specify)

Service Management

Technical/Engineering Management

9.	In which of the following is your firm involved? (select all that apply)

Residential: Commercial: cont.

New Construction Residential Repair Replacement Commercial/Industrial

Repair Replacement Residential Service Commercial/Industrial

Service Residential Design Build Contracting

Commercial: Other (please specify)

New Construction Commercial

Modernization/Alteration Commercial/Industrial

10.

How would you like to receive future notices? (select all that apply)

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11.

In order to verify your request for this publication, without the availability of a signature HVACR Business' audit bureau requires that they ask a personal identifying question. This information is used solely for the purpose of auditing your request. In what month were you born?

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