Poultry International Free Subscription

	*Poultry International* is free to qualified professionals. Summary Description
	To apply for a FREE digital subscription to *Poultry International*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free digital subscriptions.
	Geographic Eligibility: Europe, Middle East, Africa, Asia Pacific (Not including USA and Canada. If you are in the USA or Canada, please click here: Watt Poultry USA.)

1.	*Do you wish to receive a FREE digital subscription to Poultry International?*

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

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.	Since Watt Publishing Company cannot capture a signature, their auditors require them to ask a question that is only verifiable by the individual completing the form. Please provide the last digit of your year of birth.

3.	Title (select only one)

Corporate Processing Management

Owner/Grower Purchasing

Production Management Other (please specify)

Marketing & Sales

4.	PRIMARY OCCUPATION (Please check your primary business operation in which you are engaged and give volume information).

Poultry Processing Poultry Feed Manufacturing

Broiler Production Egg Packing/Processing

# of Houses Egg Product Manufacturing

Egg Production Distribution/Wholesale/Warehouse

Flock Size Importer/Exporter

Turkey/Duck Production Distributor of Equipment/Health Products

# of Houses Manufacturer of Equip/Health Products

Breeder Farm/Hatchery Other ($84.00/Paid)

Flock Size

5.	I recommend, authorize, specify or purchase the following: (select all that apply)

Chicks, Pullets, Poults Feed Ingredients/Additives

Production Equipment Processing Equipment & Supplies

Hatchery Equipment Packaging Equipment & Materials

Health Products Trucks, Bodies & Refrigeration Units

Feed Milling Equipment Sanitation & Pest Control Supplies

None of the above

6.	Do you wish to receive Watt Publishing Company's free bi-weekly email newsletter 'Watt Poultry ENews'?

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7.	Do you wish to receive Watt Publishing Company's free monthly email newsletter 'Poultry Digest On-Line'?

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

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* 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.