Confection and Snack Retailing Free Subscription

	*Confection and Snack Retailing* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Confection and Snack Retailing*, 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 Confection and Snack Retailing?*

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First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Dept/Mail Stop/Suite:
City:
State/Province:
Zip Code/Postal Code:
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Business Fax:*
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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.	What category best describes your company's primary business? (select only one)

Grocery/Headquarters/Supermarket Chain Variety/Discount Store/Chain

Independent Supermarket/Grocery Store Warehouse Buying Club

Grocery Wholesaler/Cooperative Department Store

Convenience Store/Chain/Service Station/Oil Retailer Broker/Exporter/Importer

Independent Convenience Store Specialty Retailer/Specialty Food Store

Drug Store Chain Food/Confectioner Broker or Importer

Independent Drug Store College Bookstore

Vending Operator/Distributor Truck Stops and Plaza

Amusement/Concession including Movie Chain Other (please specify)

Candy/Snack Wholesaler or other Wholesaler/Distributor

2a.

If you answered store chain, please indicate the number of stores: (please specify)

3.	What is your title? (select only one)

Salesperson/Account Executive Merchandising/Marketing Vice President/Manager

Candy/Confectionery Buyer Store/Location Manager

Snack Buyer Category Manager/Director

Other Buyer (please specify) Grocery Buyer

Other (please specify)

Owner/Partner/President/Vice President/CEO

4.	I recommend, specify, approve or purchase the following: (select all that apply)

Everyday Confectionery Crackers

Seasonal Candy Bulk Snacks

Bulk Candy Nuts

Salty snacks (including meat snacks) Other (please specify)

Sweet snacks (cakes, cookies)

Fruit Snacks None of the above

5.	In lieu of a signature, we require a unique identifier used only for subscription verification purposes. How many letters are in your father's first name?

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