Website Magazine Free Subscription

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

Yes No

First Name:
Last Name:
Job Title:
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Business Address:
Suite/Dept:
City:
State/Province:
Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, distribution is not currently available at your location.)
Email Address:
	(Note: Valid email address is required or you could be disqualified.)
Website URL:
	(Note: Your business/company's valid website URL is required or you could be disqualified.)
Business Phone:
Fax:

Yes, please auto-fill my contact information for other publication qualification forms.

Yes! Send Website Magazine's weekly email newsletter (FREE Worldwide)

Which of the following best describes your industry? (select only one)

Please specify for Other:

2.	What is your primary job position? (select only one)

Executive Management (CEO, Owner, Partner, President, VP, Director, CTO, CFO, Single Proprietor & related titles)

General Management (Website Manager, IT Manager, Supervisor, Administrator, Purchasing Agent & related titles)

Marketing & Sales Management (CMO, Marketing Director/Manager, Business Development Director/Manager, Sales Director/Manager & related titles)

Web, Online & Interactive Management (SEO, Design, Development, Advertising & related titles)

Other Web and Interactive Titles (Content Producer, Editor, PR, Specialist & related titles)

Other (please specify)

3.	Which category best describes your website responsibilities? (select only one)

Marketing Programming

Advertising Placement Design

SEO/SEM Other

Technical

4.	How long have you been in the Internet field? (select only one)

More than 10 years 1 - 5 years

5 - 10 years Less than one year

5.	Which website topics are most useful in your job? (select all that apply)

E-commerce Email Marketing

Site Design Online Advertising

Search Marketing / SEO Customer Service / CRM

6.	*Yes! Please notify me of opportunities from Website Magazine* partners.**

Yes!

Website Magazine will send Web-focused offers on a limited basis that are relevant and useful. Email or phone is never shared and you may opt-out at anytime.

7.	What is your projected annual budget for Internet-related expenses (online advertising, marketing, web hosting, etc)? (select one for each)

Projected Annual Budget Online Advertising Website Maintenance Other Web Expenses

Over $1 million

$500,001 - $1 million

$100,001 - $500,000

$50,001 - $100,000

$10,001 - $50,000

$1,001 - $10,000

Under $1,000

8.	How many people are employed in your entire organization? (select only one)

More than 1,000 50 - 99

500 - 1,000 10 - 49

100 - 499 Under 10

9.	*In lieu of a signature, Website Magazine* requires a unique identifier used only for subscription verification purposes:**

First letter of your city of birth:

10.

Does your organization sell or provide Internet related products or services to website owners, webmasters or others within the Internet community?

Yes No

Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?

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Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations?

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Related FREE Offers from TradePub.com: Check those you wish to receive.

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Which of the following best describes your industry? (select only one)

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Which of the following is closest to your job function? (select only one)

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What is the number of employees in your entire organization? (select only one)

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