Internet Retailer
  Internet Retailer is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Internet Retailer, 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 Internet Retailer?
Yes     No


First Name:
Last Name:
Job Title:
Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Street Address:
Suite/Floor:
City:
State:
Zip Code:
Country:
(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email:
(Note: Valid email address is required or you could be disqualified.)

  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. Which category best describes your industry? (select only one)
Retail Chain or Store University/School/Library
Catalog/Direct Merchant Consultant
Internet Service Manufacturer Other
Virtual Merchant Other


3. If you answered Retail Chain or Store above, please specify what type: (select only one)
Department Store/General Merchandiser Food/Drug
Discount Home Center/Hardware
Specialty Other


4. Please indicate your primary job function: (select only one)
Interactive/Network Services Fulfillment/Inventory Management
MIS Financial Management
Database Services Executive
Marketing Other
Merchandising


5. Please indicate your title: (select only one)
Chairman/CEO/President/COO VP
EVP/SVP Director/Department Manager
CIO Other
CFO


6. In lieu of a signature, we require a unique identifier to be used only to verify this subscription request. On what day of the month were you born?


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* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.


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Copyright © 2008 Internet Retailer, All Rights Reserved.