Water & Wastes Digest Free Subscription

	*Water & Wastes Digest* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Water & Wastes Digest*, 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 Water & Wastes Digest?*

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Company:
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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 best describes your firm? (select only one)

Water & Wastewater Systems/Plants Water & Wastewater Systems/Plants cont.

Municipal/County System Manufacturer/Supplier of Water & Wastewater Equipment & Supplies

Private/Investor Owned System Other Firms Allied to the Industry

Military Services Contractors & Consultants

Manufacturing Facility/Industrial System (not listed below) Federal and State Agencies

Paper and Allied Products Manufacturer's Rep.

Chemicals and Allied Products Service Firms

Food and Kindred Products Schools, Libraries, and Associations

Petroleum Refining and Related Industries Research/Analytical Laboratories

Fabricated Metal Products Other (please specify)

Machinery

Electric/Gas Utility

3.	What is your principal activity? (select only one)

Water Only Wastewater Only

Water & Wastewater None of the Above

4.	Please check ONE of the following that best describes your title: (select only one)

Government Administrators Technical

Corporate Management Marketing and Sales

Operations Other (please specify)

Engineering

5.	I have the authority to specify, approve or buy the following: (select all that apply)

Process Systems and Equipment Pumps, Valves, Seals, Packing and Related Products

Piping, Fittings and Related Products Flow, Pressure and Level Measuring Equipment and Accessories

Chemicals, Biochemicals and Handling Equipment Sampling and Analyzing Equipment and Instrumentation

SCADA (Supervisory Control & Data Acquisition) Engineering, Construction, Operational and Maintenance Services and Equipment

Corrosion Control Systems and Materials Laboratory Equipment, Supplies and Services

Electrical and Mechanical Equipment Filtration Equipment

Computers - Hardware and Software Stormwater Related Products

Security and Safety Equipment None of the Above

Structures, Storage Facilities and Related Products

6.	In order to verify your on-line subscription request, Scranton Gillette Communications is required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request. What is the first initial of your father's name?

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