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QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Residential Systems will be sent to those applicants who qualify. The publisher reserves the right to limit the number of subscriptions accepted.

1.	I wish to receive Residential Systems magazine FREE of charge.

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NOTE: In order to be considered for a subscription to Residential Systems, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Residential Systems.

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4.	Would you like to receive exclusive articles and white papers from Residential Systems' editors and partners in a digital, interactive format if it becomes available?

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5.	Primary Type of Business at your location:

Systems Integration/Installation/Contracting firms (Project Engineering, Systems Design, Service Maintenance)

Consulting Firms (Acoustical/Architectural, Video, Computer Cable, HVAC, Electrical, Telecom)

Designer/Architects

Dealers/Retailer/Distributors

Manufacturer's Representatives

Manufacturers and Software Providers

Builders/Developers

Other

6.	Primary Job Function

Owner/Manager

Design/Engineering

Technician/Installer/Sevice/Maintenance/Repair

Consultant/Architect

Sales/Marketing

Operations

Other

7.	Which of these products does your company sell, specify, recommend or install in residencies?

8.	In lieu of a signature, Audit Bureau regulations require that we ask a validation question as proof of your request to subscribe. What day of the month were you born?

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