Restoration & Remediation
  Restoration & Remediation is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Restoration & Remediation, 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 Restoration & Remediation?
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2. Please check your preferred format: (select only one)
Print Version of Restoration & Remediation (FREE)     Digital Version of Restoration & Remediation (FREE)*

*All digital subscribers will receive the print version until digital is available.


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
(Please provide your Company Name in full: abbreviations could disqualify you)
Business Address:
Dept/Mail Stop/Suite:
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(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Email Address:
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You will receive subscription and renewal notices from BNP Media via email.


3. Optional: If you want delivery to your home or Business P.O. Box, please complete the area below.
Please mail my copy to: Home (below) P.O. Box (below) Business Address (above)
Home Street Address or P.O. Box:
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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.


4. In lieu of a signature, BNP Media requires a unique identifier used only for subscription verification purposes. How many letters are in your father's first name?


5. Your fax number is used to communicate to you. By providing your fax number, you are giving your written permission to receive subscription and other related information from BNP Media that may be of interest to you by fax. We will not share this information or use it for any other purpose. Would you like to receive subscription faxes sent by Restoration & Remediation/BNP Media?
Yes     No


6. Would you like to receive the Restoration & Remediation e-newsletter FREE of charge?
Yes     No


7. Your primary business activity: (select only one)
Water Damage Restoration Property/Facility Management
Smoke/Fire Damage Restoration Laboratory Services
Mold Remediation Distributor
Indoor Environmental Professional Manufacturer's Rep/Sales Agent
Insurance Claims/Risk Management Other (please specify)


8. Your primary job function: (select only one)
Owner/President Asset/Loss Management
General Management Sales
Restoration/Remediation Technician Other (please specify)
Project Manager


9. Your purchasing authority: (select only one)
Approve/Purchase Recommend
Specify None of the above


10. Your annual sales volume: (select only one)
More than $10,000,000 $500,001 - $1,000,000
$5,000,001 - $10,000,000 $250,001 - $500,000
$1,000,001 - $5,000,000 Up to $250,000


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