1.	Do you wish to receive a FREE subscription to Converting?

Yes     No

First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Business Phone:
Business Fax:
Email address:

Reed Business Information brands will occasionally send you subscription, editorial, marketing and research email messages.

If you prefer not to receive third-party email offers from our Business Direct brands, check here.

Company Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Dept/Division:
Street Address:
P.O. Box:
City:
State/Province:	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   American Samoa Guam Marshall Islands Micronesia (Federated States of) Palau Puerto Rico U.S. Minor Outlying Islands U.S. Virgin Islands Northern Mariana Islands Armed Forces Americas AA Armed Forces Middle East, Europe, Canada AE Armed Forces Pacific AP   Other
Zip/Postal Code:
Country:	UNITED STATES OTHER
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)

Is the above your home address?

Yes     No

         If yes, please provide your business address below:

Company Name:
Dept/Division:
Street Address:
P.O. Box:
City:
State/Province:	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   American Samoa Guam Marshall Islands Micronesia (Federated States of) Palau Puerto Rico U.S. Minor Outlying Islands U.S. Virgin Islands Northern Mariana Islands Armed Forces Americas AA Armed Forces Middle East, Europe, Canada AE Armed Forces Pacific AP   Other
Zip/Postal Code:
Country:	Select Country UNITED STATES OTHER

What is the approximate number of employees in your company? (select only one)

Select Number of Employees Less than 50 50-99 100-499 500-999 1,000-4,999 5,000-9,999 Greater than 10,000

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

2.	What is the primary product converted or manufactured at your location? (select only one)

Flexible packaging (bags, pouches, wraps, paper, plastic or foil)

Tapes, labels or tags

Paperboard packaging (folding cartons, corrugated containers, fiber cans, tubes, drums, set-up boxes, molded fiber goods)

Unprinted rolls or sheets (paper, paperboard, film or foil as a final product or for further converting)

Manufacturer of converting machinery, equipment, materials and supplies

Other (please specify)

3.	What is your primary job function? (select only one)

Executive/senior/general management	Purchasing, procurement
Manufacturing, production, operations, engineering, facilities, maintenance	Sales & Marketing
Packaging/materials design, R&D, QA, other technical function	Other (please specify)

4.	How many employees are at your location? (select only one)

100 or more	20-49
50-99	1-19

5.	Which of the following types of converting processes do you perform at your location: (select all that apply)

Flexography	Slitting
Gravure	Sheeting
Offset Litho	Film Extruding
Screen	Prepress
Letterpress	Folding/Gluing
Digital Offset	Die-cutting/Die-making
Coating/Laminating

                                                             None of the Above

6.	Which of the following products do you recommend, specify or purchase? (select all that apply)

Converting Materials/Supplies	Sheeting Equipment
Printing Equipment/Supplies	Components/Accessories
Coating Equipment/Laminating Equipment	Prepress Equipment
Slitting Equipment

                                                             None of the above

7.	What width of materials does your location convert or print? (select all that apply)

Less than 18 inches (45 cm)	24 to 36 inches (60 to 90 cm)
18 to 24 inches (45 to 60 cm)	More than 36 inches (90 cm)

                                                             None of the Above

8.	BONUS OFFER - In addition to your magazine subscription, which of the following FREE eNewsletters from Converting would you like to receive? (select all that apply)

Frontline News - Timely coverage of news and essential developing trends from the converting industry (every Tuesday).
OEM Update - Keeps OEM professionals informed of news within this niche area (monthly).

9.	Please indicate your month of birth. This question is for verification purposes only.

Select month born January February March April May June July August September October November December

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

Yes     No

Sign up for special offer alerts from select partners featuring the latest products and services you are interested in.

Yes     No

Request your FREE White Paper: How To Get To The Numbers That Matter. The paper addresses a wide range of topics that impact a retailer's financial success. Many of these are common to retailers of all sizes, but some are specific to mid to small tier businesses and many cautionary notes are given. The objective of this white paper is to review various aspects of retail financial management and to draw important lessons for small and mid-size retailers. This white paper was written by Martec International, Inc., Compliments of Microsoft Corporation. Note: Offer Valid in the United States Only.

Retail Customer Experience provides retailers with a twice-weekly email update on the news and trends about stimulating and connecting with their customers. Learn how to use the customer experience as a powerful point of differentiation that drives revenue. Stay up-to-date on retail industry news, research and more. Note: Offer Valid in the United States Only.

Discover how to find new customers online. Spot Runner brings you new prospects with Online Advertising. We put your business on major search engines like Google, Yahoo, and create you a free video for sites like YouTube! Click to learn more about Spot Runner's Online Advertising solution today! Note: Offer Valid in the United States Only.

FREE Franchise Opportunity Consultation! The FranChoice franchise consultation process is similar to working with a realtor when buying a home. One of our experienced franchise consultants will guide you through the franchise search process, help answer your questions, and understand your needs and business goals as a prospective franchise owner. There is no obligation or cost to you for our franchise consulting services, or for the information about franchise opportunities we offer at FranChoice. We are paid fees by the franchise companies, who respect the processes we follow and who recognize the high quality and fit of the prospective franchise owners we refer to them. You pay exactly the same franchise fees with any franchise company, whether you work with FranChoice or not. FranChoice is able to provide a win-win scenario for you, as the franchisee candidate, and for the franchisors. Note: Offer Valid in the United States Only.