Medical Construction & Design Free Subscription

	*Medical Construction & Design* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Medical Construction & Design*, 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 Medical Construction & Design?*

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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.	Please indicate your primary business/industry: (select only one)

Construction/General Contractor Supplier/Manufacturer

Engineering Government

Architecture Education

Interior Design Other (please specify)

Hospital/Health Care Facility

3.	Please indicate which best describes your title: (select only one)

Architect CFO, COO

Engineer Facility Manager

Interior Designer Vice President/Director

Project Manager Other (please specify)

Owner, President, CEO

4.	Which types of facilities do you or your firm work with? (select all that apply)

Hospitals University/Medical Schools

Surgery Centers Other (please specify)

Medical Office Buildings

Nursing Homes

5.	How much will your organization spend on renovation/construction projects in the next 12 months? (select only one)

Up to $1,000,000 $10 million - $24,999,999

$1 million - $4,999,999 $25 million - $100 million

$5 million - $9,999,999 More than $100 million

6.	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. Enter the last digit of the year you were born.

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If your firm is a contractor or consulting engineer firm, please check all activities in which your firm is involved: (select all that apply)

	Streets, Highways, Roads, Airport Pavements	Earthmoving, Excavating
	Bridges, Viaducts, Tunnels	Lighting, Signing or Safety
	Roadside Maintenance	None of the Above

Job Title: (select only one)

	Government Administrators - Mayor, City/Town/Village Manager, Administrator, Commissioner, Council Member, Director, Superintendent/Supervisor Public Works, Health, Service, Safety Officials, City/County/District Engineer, Clerk, Airport Manager, Engineer, other Government Administrator.
	Corporate Management - President, CEO, Chairman, Owner, Partner, Exec/Senior VP, VP, Secretary, Treasurer, Financial Officer, Purchasing Manager, Branch Manager, other Corporate Manager.
	Operations - General Manager, Director, VP, Manager (Area, Factory, Plant, Product, Division), Supt. of Streets, Highway/Road Supt., Project Engineer, Maint. Supt., Supervisor, Foreman, Operator, Chief Operator, Equipment Operator, other Operator.
	Engineering - Vice President, Director, Managing, Chief, Senior, Resident, Staff, Sanitary, Design, Mechanical, Architect, Estimator, Electrical, Chemical, Maintenance, Civil, Structural, Field, Construction, Environmental, EPA, Safety, Traffic, Highway, Road, Consulting, other Engineer.
	Technical - Research, Scientist, Biologist, Chemist, Analyst, Environmental and Pollution Control Spec., Tech. Mgr., Supt. Supv., Foreman, other Technician.
	Marketing & Sales - Manager of Marketing/Sales, other Sales/Marketing Person.
	Other
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In order to verify your on-line subscription request, Scranton Gillette Communications is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What day of the month were you born?

I wish to receive a FREE digital subscription to Renewable Energy World North America. Renewable Energy World North America serves professionals in the utility-scale renewable energy industry with in-depth articles, columns and features. Every issue examines major trends that are driving wind, hydropower, solar, geothermal and biomass adoption and integration by utilities across North America. Look to each issue for analysis of the financial trends affecting the renewable energy industry. Note: Offer Valid in USA, Canada and Mexico Only.

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