Industrial Hygiene News Free Subscription

	*Industrial Hygiene News* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Industrial Hygiene News*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA, Canada

1.	*Do you wish to receive a FREE subscription to Industrial Hygiene News?*

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2.	Which version would you prefer? (select only one)

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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.

3.	Select the one title that is most appropriate for your position. (select only one)

Industrial Hygienist Other Laboratory Title

Environmental Engineer Other Research Title

Pollution Engineer Audiologist

Safety Engineer Bacteriologist

Environmental Specialist Biologist

Safety Manager Toxicologist

Environmental Health/Safety Manager Chemist

Emergency Management Director Radiologist

Security Director/Manager Meteorologist

Compliance Manager Scientist

Fire, Police, & EMS Personnel Psychologist

Human Resource Manager Admin/Director

Emergency Preparedness Personnel Exec/Pres/CEO

Consultant Manager

Loss Control Manager Buyer/Purchasing Agent

Haz Mat Manager Superintendent

Plant Engineer Supervisor

Sanitary Engineer Technician

Chief Engineer Architect

Civil Engineer Educator

Design Engineer Analyst

Instrument Engineer Specialist

Chemical Engineer Ergonomist

Engineer Geologist

Project Manager Hydrogeologist

Process Engineer Treatment Plant Operator

Occupational Physician/Nurse Public Safety Director

Public Health Officer Other

Health Physicist

4.	Select the one item which best describes your primary business activity, or service performed at this location. (select only one)

Mining Municipal Water/Wastewater

Food Industrial Water/Wastewater

Tobacco Nuclear

Textile Sanitary Service

Apparel Security

Lumber & Wood Haz/Toxic Waste Services

Furniture Federal

Paper State

Printing County

Chemical Township

Drugs/Cosmetics City

Petroleum Consultants

Coal Products Contractors

Rubber & Plastic Research

Leather Insurance

Stone/Glass Lab/Research

Primary Metal Hospital/Medical Services

Fabricated Metal Education

Machinery other than electrical Ind. Hygiene Product Mfg.

Electrical & electronic equipment Mfg. Rep. of Ind. Hygiene/Safety Products

Transportation Mfg. Rep. of Pollution Products

Instruments Pollution Product Mfg

Telephone Miscellaneous Manufacturing

Electric Other Services (please specify)

Gas

5.	I am responsible for recommending, specifying, or purchasing: (select all that apply)

Industrial Hygiene Safety Construction, Machine Operation

Laboratory Training

Security/Monitoring Sys. Software

Occupational Health Safety Incentives

Personal Protection Products Ergonomics

Emergency/First Response

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