1.	Please start my free 6 month trial subscription to Human Resource Executive (No payment information is required at this time).

Yes     No

2.	By providing your email address you are granting Human Resource Executive permission to contact you regarding your subscription. May Human Resource Executive use this email address to contact you about other product offerings?

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)
Address:
Dept/Division:
City:
State/Province:	Select for USA, Canada, or Mexico   US States Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   US Territories American Samoa Guam Marshall Islands Micronesia (Federated States of) Palau Puerto Rico U.S. Minor Outlying Islands U.S. Virgin Islands Northern Mariana Islands Armed Forces Americas AA Armed Forces Pacific AP Armed Forces Middle East, Europe, Canada AE   Canada Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory   Mexico Aguascalientes Baja California Baja California Sur Campeche Coahuila Colima Chiapas Chihuahua Distrito Federal Durango Guanajuato Guerrero Hidalgo Jalisco Michoacan Morelos Nayarit Nuevo Leon Oaxaca Puebla Queretaro Quintana Roo San Luis Potosi Sinaloa Sonora Tabasco Tamaulipas Tlaxcala Veracruz Yucatan Zacatecas   Other
Zip/Postal Code:
Country:	Select Country USA CANADA MEXICO OTHER
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone:
Fax:
Email:
	(Note: Valid email address is required or you could be disqualified.)

             Is the above your business address?

Yes     No

Yes, please auto-fill my contact information for other publication qualification forms.

3.	Primary business at this location: (select only one)

Agriculture, Forestry and Fishing

Mining/Construction (contractors, builders)

Manufacturing Distribution

Transportation, Communication, Electric, Gas and Sanitary Services

Wholesale/Retail Trade (restaurants, chain stores)

Finance, Insurance and Real Estate

Services (consultants, schools, universities, hotels, ad agencies, hosp., med services)

Public Administration (federal, state and local governments, military)

Other (please specify)

4.	Indicate your title: (select only one)

CEO, President, Chairman, Owner, Partner, Principal (insurance industry)

Vice President/HR

Assistant or Associate VP/HR

VP: Personnel, Staffing, Training, Employee Benefits, Financial, HRIS or Other

Asst/Assoc VP: Personnel, Staffing, Training, Employee Benefits, Financial, HRIS, or Other Asst/Assoc

Director: HR, Personnel, Training, Employee Benefits, Financial, HRIS or Other

Manager: HR, Personnel, Training, Employee Benefits, Financial, HRIS or Other

Consultant

Other (please specify)

5.	Number of employees in your entire company at all locations: (select only one)

25,000 or More	1,000-1,999
10,000-24,999	500-999
5,000-9,999	150-499
2,000-4,999	Under 150

6.	Has all or some purchasing and/or functional responsibilities for: (select all that apply)

Recruitment Services (including advertising)	Testing, Appraisal and Evaluation Services
HR Related Software And Technology	Meeting Sites
Relocation Services	Safety and Security
Outplacement Services	Food/Cafeteria Services
Insurance Benefits	Temporary Services
Consultants Personnel Benefits etc	Worker's Compensation
Training/Motivation	None of the above
Recognition Awards/Incentives

7.	For purposes of verification, What is your mother's maiden name?

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

Yes     No

Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations?

Yes     No

Receive a Complimentary 1 year subscription to MarketMover Futures Trading Hotline. MarketMover is a bi-weekly hotline using PFGBEST.com's most powerful trading strategies in markets like Gold, Silver, Crude Oil, Grains, Currencies and other commodities. Note: Offer Valid in the Selected International Countries Only.

HP Technology at Work eNewsletter for Real Estate, Financial and Accounting: Get the latest money-saving promotions, free advice from industry experts, technology solutions, articles and tips -- all custom-tailored for your industry. New - exclusive content just for subscribers! Subscribe to the HP Technology at Work monthly eNewsletter today! Before you choose to receive emails from HP, visit their Online Privacy Statement to learn how they use automatic data collection tools and your personal information to tailor your communications. Note: Offer Valid in the United States Only.

4 FREE Trial ISSUES OFFER OF The Economist! Insights on the world, weekly. The Economist is a global weekly magazine written and edited for readers who share an uncommon interest in being well and broadly informed. With objective authority, clarity and wit, The Economist presents well-considered analysis of the world's business, political, scientific, technological and cultural affairs and the connections between them. Subscribe to The Economist today and you'll get 4 RISK-FREE issues as a free trial. If you wish to continue your subscription, you'll receive 20 additional issues - 24 in all for just $2.49 an issue (total of $59.76). That's 58% off the cover price. If you decide The Economist is not for you, write 'cancel' on the bill, return it and owe nothing. Note: Offer Valid in the United States Only.

Discover how to find new customers online. Spot Runner brings you new prospects with Online Advertising. We put your business on major search engines like Google, Yahoo, and create you a free video for sites like YouTube! Click to learn more about Spot Runner's Online Advertising solution today! Note: Offer Valid in the United States Only.