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QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Overdrive's Digital Edition 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 Overdrive's Digital Edition FREE of charge.

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NOTE: In order to be considered for a subscription to Overdrive's Digital Edition, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Overdrive's Digital Edition.

2.	Please check the category that best describes your title: (check one only)

If you selected Other (please describe), please provide an alternative:

3.	How many trucks do you own per class at this location? (Please enter the quantity for each class)

	Quantity (numbers only)

Class 8 (33,001 lbs. GVW+)
Class 7 (26,001-33,000 lbs. GVW)
Class 6 (19,501-26,000 lbs. GVW)
Trailers
Pickup Trucks
Other

4.	What is your company's primary type of hauling or line of business? (Check only one)

5.	You may receive renewal reminders via e-mail. If you do not want to receive other business-related, third party e-mail offers from Randall Publishing, please indicate so below.

No, do not send me third party offers.

6.	In lieu of a signature, we require a unique identifier used only for subscription verification purposes. How many siblings do you have?

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