Electrical Contractor Free Subscription

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

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

Email Policy: On behalf of National Electrical Contractors Association's advertisers and marketing partners they occasionally send bona-fide Electrical Contracting product and service industry opportunities to their email audience. This email service is strictly administered by Electrical Contractor and NOT by National Electrical Contractors Association's marketing partners. To opt out of receiving such occasional market related information, please check here.

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

2.	Primary business of your company or employer. (select only one)

Electrical Contracting/Low-Voltage Contracting - includes power (inside, line, lighting, maintenance, control etc.) electrical work, and/or all VDV, security, fire/life safety, fiber optics, home/building automation systems, and integrated building systems applications

Engineering/Architecture/Consulting

Systems Integration/Consulting

Wholesale/Distributor

Other (please specify)

3.	Primary job title or function: (select only one)

Executive Management: Owner, Partner, President, VP, General Manager, etc. Estimators

Management: Project Manager, Superintendent, Supervisor, Foreman, etc. Purchasing Agents, Buyers

Electrician (field), Journeyman, Technician, Installer, Service Person, etc. Other (please specify)

Staff Engineer, Designer, Electrical Engineer

4.	CHECK ALL of the Building Components you or your Company have installed. (select all that apply)

Security (includes CCTV, Access/Motion/Intrusion Systems) Maintenance/Service/Repair

Fire Life Safety Systems Power Quality Systems (Standy, Co-gen, etc.)

Building, Automation Control Systems (includes HVAC, Lighting) None of the Above

Fiber Optics/Comm Systems (VDV)/Premises Wiring

5.	Total number of people who work for your company. (all locations combined) (select only one)

1–4 5–9

10–19 20–49

50–99 100–249

250–499 500+

6.	CHECK ALL Construction Types you or your company have performed. (select all that apply)

F-2 COMMERCIAL F-4 INDUSTRIAL

Hotel/Resort/Restaurants/Food Service/Entertainment/Sports/Gaming Manufacturing Plants

Financial (Banking/ Insurance) Power Gen/Utility

Retail Stores (all Types) F-5 RESIDENTIAL

Office Buildings Single Family

F-3 INSTITUTIONAL Multi-Family (6+ floors)

Hospital/Nursing Home F-6 NON-BUILDING

Education (K-12/College/University) Road/Airport/Traffic Lighting, Line Work, Waste/Water Treatment, etc.

Govt. Admin/Police/Correctional/Military None of the Above

Transportation (Airport, Rail, Other)

7.	What is your company's estimated total annual sales? (select only one)

Under $250,000 $2.5 million to $9.9 million

$250,000 to $999,999 $10 million +

$1 million to $2.49 million

8.	In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the day of your birth. What is the day of your birth?

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