Total Telecom Free Subscription

	*Total Telecom* is free to qualified professionals. Summary Description
	To apply for a FREE digital subscription to *Total Telecom*, 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: Selected International (Excludes North America)

1.	*Do you wish to receive a FREE digital subscription to Total Telecom?*

Yes No

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:
Division/Department:
Town/City:
State:
Post Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Telephone:
Fax:
Email:
	(Note: Valid email address is required or you could be disqualified.)

Terrapinn (or its agents) may contact you by mail, phone or email about products and services offered by Terrapinn and its group companies, which Terrapinn believes may be of interest to you, or about relevant products and services offered by reputable third parties. Terrapinn may also disclose your contact details to such third parties to enable them to contact you directly. Certain entities to which Terrapinn discloses your contact details are located in territories overseas which have fewer legal safeguards to protect personal data. By submitting this form to Terrapinn, you agree to their processing of your personal information in this way.

Please select the appropriate boxes:

If you do not wish to receive such information from Terrapinn group via:
Post     Phone     Fax
If you do wish to receive such information from Terrapinn group via:
Email     Mobile
If you do not wish to receive such information from reputable third parties via:
Post     Phone     Fax
If you do wish to receive such information from reputable third parties via:
Email     Mobile

What is the approximate number of employees in your company?

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

2.	Which best describes your job title? (select only one)

President/CEO/Chairman/Director/Board Member/Vice President/General Manager Regulator/Government Minister/Senior Government Official

Manager/Head of Department/Division/Principal Consultant Other (please specify)

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

Applications/Content Development Management Network Operations Management

Communications (Data and Telecoms) Management Network Planning and Strategy Management

Consulting Management Procurement/Purchasing Management

Corporate Communications Management (Media/PR/Internal Communications/Investor Relations) Service Development Management

Customer Care/Support Management Product Management

Engineering/Design/R&D Management Sales and Marketing Management

Financial Management Regulatory/Legislative/Administrative Management

Account Management Wireless Systems/Service Management

IT Management Other (please specify)

4.	Are you personally responsible for purchasing/recommending/specifying/authorizing or influencing the purchase of communication related equipment or services?

Yes No

5.	Which of the following products/services are you personally responsible for purchasing/recommending/specifying or authorizing? (select all that apply)

Data Services (including managed) LAN/CPE

Voice Services (including managed) Network Edge (including access)

Data/IP Equipment Comms Software/Applications/Content/Intranet

Voice Equipment OSS/Network Management/Billing/Test

Wireless/Mobile Services Handsets/Laptops/PDAs/Smartphones

Wireless/Mobile Equipment Other (please specify)

Satellite Equipment and Services

6.	Which of the following best describes your primary business activity? (select only one)

Carrier/PTT/Service Provider/ISP Content Producers and Aggregator

Mobile Operator/MVNO Banking and Finance

Communications Reseller/Channel Legal and Regulatory

Enterprise End User (buyers of telecoms equipment and services for their own use) IT Services Provider/Systems Integrator/Consultant

Government End User Comms/IT Equipment, Platforms and Services Vendors (including manufacturers, suppliers and resellers of telecoms software and hardware)

Normally, the auditors who verify Terrapinn Holdings Ltd's circulation require you to sign the registration card to validate your free subscription, but this is not possible on a web page. Instead they ask a personal qualifying question that must be answered. What are the first 2 letters of your mothers Maiden Name? Your response will be kept strictly confidential and only released to the official audit bureau on request.

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

Security Check: Enter both words below, separated by a space.

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.

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