Oil, Gas & Petrochem Equipment Free Subscription

	*Oil, Gas & Petrochem Equipment* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Oil, Gas & Petrochem Equipment*, 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 (Print and Digital Format), International (Digital Format Only)

1.	*Do you wish to receive a FREE subscription to Oil, Gas & Petrochem Equipment?*

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)
Street Address:
Department/Mail Stop:
City:
State/Province:
Zip/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Business Phone:
Business Fax:
	By providing your fax number, you agree to receive fax broadcasts from PennWell for subscription/renewal purposes.
Email Address:
	(Note: Valid email address is required or you could be disqualified.)

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

2.	Please check the ONE category below that best describes your business activity: (select only one)

OPERATING OIL, GAS & PETROCHEMICAL COMPANIES ENGINEERING, DESIGN & CONSTRUCTION FIRMS, CONTRACTORS

Petrochemical Manufacturing Processing Plant Contractor (including design, engineering, construction)

Producing Pipeline Contractor (including design, engineering, construction)

Drilling/Drilling Contractor

Exploration EQUIPMENT MANUFACTURING, SUPPLY & SERVICE COMPANIES

Refining Equipment Manufacturing Co.

Pipeline Oil Field Supply Co.

Natural Gas Processing Well Service Co.

Consulting Company Engaged in Projects or Providing Services to Oil and/or Gas Cos. Other (please specify)

3.	Please check the ONE Category below that best describes your JOB FUNCTION: (select only one)

Operating Management (Operating Manager, Company Official, Pres., Owner, VP, Managing Dir., etc.) Purchasing (Purchasing Agent, Purchasing Mgr.)

Engineering Other (please specify)

Field/Plant Professional (Superintendent, Supervisor Foreman, Toolpusher)

4.	Do you recommend or approve the purchase of equipment or services? (select all that apply)

Specify Approve

Recommend Purchase

None

5.	Which format would you prefer to receive your copy of Oil, Gas & Petrochem Equipment?

Print Digital

6.	Would you be interested in participating in FREE educational web casts?

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7.	In lieu of a signature, we require a personal identifier. To verify that you submitted this application please provide the name of the last school you attended.

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

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