Restaurant Business Free Subscription

	*Restaurant Business* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Restaurant Business*, 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 Restaurant Business?*

Yes No

First Name:
Last Name:
Job Title:
	(Ex: Director, Vice President, Project Manager, etc.)
Company Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Business Address:
Dept/Mail Stop/Suite:
City:
State/Province:
Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email Address:
	(Note: Valid email address is required or you could be disqualified.)

As an important subscriber, Ideal Media values the privilege of contacting you via email. Ideal Media will not sell your email address, and you will be given the opportunity to opt-out of any email correspondence you receive.

2.	Indicate your preferred delivery address:

Business Address (above) Home Address (below) P.O. Box (below)

Delivery Address (if different from business address above)

Home Address or P.O. Box:

City:

State, Province or Territory:

Zip Code/Postal Code:

Country:

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.	Are you a decision maker for a commercial foodservice location such as: restaurant, hotel, resort, club (excluding military)?

Yes No

4.	Which one of the following best describes your title? (select only one)

Company Officer: President, Owner, Partner, Vice President, Secretary, Treasurer, Operator

Food Service Management: Manager or Director of Food Service, Food/Beverage, Dining Service, Dietitian, Chef

Operations Management: Administrator, Innkeeper, General Manager, Business Manager

Purchasing Operations: Purchasing Director, Purchasing Agent, Buyer

Other (please specify)

5.	What term best describes your restaurant/establishment? (select only one)

Fine dining/white tablecloth restaurant - full menu/table service

Casual/family restaurant - full menu/table service

Quick serve/fast casual restaurant - limited menu/counter service/limited table service

Restaurant/Banquet/Catering in a hotel/motel/resort/spa/casino

Other (please specify)

6.	What is your company's gross annual food/beverage sales including alcoholic beverages? (select only one)

More than $300 million $750,000 to $999,999

$100 million to $300 million $500,000 to $749,999

$10 million to $99.9 million Under $500,000

$1 million to $9.9 million

7.	How many units/locations with foodservice does your organization operate? (select only one)

1 - 2 10 - 99

3 - 9 100 or more

8.	Please identify your areas of responsibilities within your operation? (select all that apply)

Culinary Marketing

Executive Management Operations

Purchasing None of the above

9.	Identify the type of location in which you work? (select only one)

Regional or District Office Individual Location

Main Headquarters Other (please specify)

Franchise Office

10.

As an added value, you will automatically receive the FREE RB Email Newsletter. If you DO NOT WISH TO RECEIVE this, please indicate by checking the box below.

I do not wish to receive the enewsletters.

11.

In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is the month of your birth?

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.