Subscribe to Shopper Marketing

FREE Subscription Application and Renewal Form

A complimentary subscription to the print edition of Shopper Marketing will be sent to applicants
who qualify. All questions must be answered completely. The Publisher reserves the right to limit the number of free subscriptions.

All fields highlighted in yellow are required to receive a FREE subscription

If you are a current subscriber and wish to automatically fill in this form, you may
access your account data in the Account Lookup section below.

How do I find my account Number?
Sample Label
Please enter all 7 digits of your customer identification number which can be found on your magazine's mailing label directly above your name. >>>>>>	********** 3 DIG 200 01 PPTA1234567 MR JOHN SMITH 1101 CONNECTICUT AVE NW WASHINGTON, DC 20036

If you are a new subscriber you may enter your information below

Keycode:

Name and Address Information:

COMPANY ADDRESS:
First:
Middle:
Last:
Title:
Company:
Address1:
Address2:
City
State:	Zip:
Country:	USA
Telephone:
Fax:
Email:
Please confirm email address by rekeying below:
Email Rekey
By supplying us with your email address, you will receive subscription notifications via email.
Company URL:

Demographic Information:

I would like to receive/continue to receive Shopper Marketing FREE of Charge:

Yes No

If Shopper Marketing becomes available in a digital edition, would you like to receive it electronically?

Yes No

1.) Which of the following best describes your company? (Check one only):

01.Consumer Product Marketers / Manufacturers

02.Retailer

00.Other (Please Specify):

2.) Which of the following best describes your job title? (Check one only):

01.Owner / Head of Business

06.Corporate Management (CEO, CMO, COO, CFO)

07.Senior Executive (VP, SVP, EVP)

03.Director

04.Manager

05.Other (Please Specify):

3.) Please select your job functions / areas of responsibility (check all that apply).

4.) Specifically what products or services do you sell/manufacture?:

5.) Are you planning a P-O-P project within the next nine months?

A.Yes
B.No

6.) If Yes to Question 5, what is the expected duration of this project in the field?

A.Temporary (2 to 6 weeks)
B.Semipermanent (6 weeks to 1 year)
C.Permanent (more than 1 year)

7.) If you are interested in receiving information on the following, check all that apply.

8.) Signup a colleague for a FREE subscription to Shopper Marketing:

Name: Title:

In order to verify your request for this publication, without the availability of a signature our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request.

What is your favorite color?

Publisher reserves the right to serve only those who meet the publisher's qualifications.