Risk & Insurance Free Subscription

	*Risk & Insurance* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Risk & Insurance, please answer ALL of the questions on the form below. If you qualify, you'll receive a free, 6 month trial subscription to Risk & Insurance*.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA, Canada, Bermuda, & Great Britain

1.	*Please start my free 12 week trial subscription to Risk & Insurance* (No payment information is required at this time).**

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5.	Primary business at this location: (select only one)

Agriculture, Forestry and Fishing Services (consultants, schools, universities, hotels, ad agencies)

Mining/Construction (contractors, builders) Public Administration (federal, state and local government, military)

Manufacturing Insurance

Transportation, Communications, Electric, Gas and Sanitary Services Hospital and Medical Services

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Director (risk mgmt., insurance, finance, employee benefits, loss control, HR)

Manager (risk mgmt., insurance, finance, employee benefits, loss control, HR)

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7.	Number of employees in your entire company at all locations: (select only one)

25,000 or More 1,000 - 1,999

10,000 - 24,999 500 - 999

5,000 - 9,999 150 - 499

2,000 - 4,999 Under 150

8.	Check any and all areas for which you have purchasing and/or functional responsibilities for: (select all that apply)

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Alternative Risk Financing Workers' Compensation

Claims Administration Technology

Employee Benefits None of the above

Safety and Loss Control

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