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To receive a FREE subscription to Integrated Solutions for Retailers magazine, simply supply us with the following information. If your mailing address is outside the U.S. and Canada, there is a fee of $97.00 to receive the magazine. (please make checks payable to Jameson Publishing, 5340 Fryling Road, Ste 300, Erie, PA 16510).


A.  Do you wish to receive a FREE subscription to Integrated Solutions For Retailers magazine?

         Yes    No


 First Name:
 Last Name:
 Title:
 Company:
 Address:
 Address2:
 City:
  State:
 Zip/Postal Code:
 Country: (if other than US/Canada)
 Phone:
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 E-Mail Address:

                 Please check here if this is an address change: 



   For audit validation purposes, In what month were you born?


1. Do you purchase, approve, or recommend the purchase of information technology products and services? (Select Only One)

     Yes    No



2. How many people are employed in your entire organization? (Select Only One)

     20,000+
     10,000 - 19,999
     5,000 - 9,999
     1,000 - 4,999
     500 - 999
     100 - 499
     Less than 100



2A. How many stores are in your retail chain? (Select Only One)

    1,000+
    500 - 999
    250 - 499
    100 - 249
    50 - 99
    10 - 49
    1 - 9



2B. What is your total company revenue? (Select Only One)

    1 Billion +
    400 - 999 Million
    100 - 399 Million
    50 - 99 Million
    10 - 49 Million
    Less than 10 Million



2C. In which channels do you operate? (Check All That Apply)

    Online
    Catalog
    Brick and Mortar



3. What Best Describes your Primary Job Title? (Select Only One)

   IS MANAGEMENT
    CIO/CTO
    VP/Director of IS/IT
    Systems Manager
    Project Manager

   OPERATIONS MANAGEMENT
    COO
    VP/Director of Operations
    VP/Director of E-Commerce
    CFO/Controller/Financial Manager
    Warehouse/Logistics/Distribution Manager
    Loss Prevention/Security Manager
    CMO/Marketing Manager
    Merchandise Manager/Planner/Buyer
    Human Resources/Training
    VP/Director/Manager of Customer Experience
    Other Professionals    

   CORPORATE MANAGEMENT
    CEO/President
    Partner/Owner
    VP / GM



4. What is your organization's primary business activity? (Select Only One)

   RETAILER
    Mass Merchandise
    Department Store
    Drug Store
    Home Center/Hardware
    Furniture/Home Décor
    Apparel
    Footwear
    Jewelry/Accessories
    Gift/Novelty/Variety
    Toy/Hobby/Pet
    Books/Music/Video
    Sporting Goods
    Electronics/Computer/Cellular/Office Supplies
    Grocery
    Convenience Store/Petroleum
    Automotive/Aftermarket/Tires
    Discount Store/Wholesale Club
    Restaurant
    Travel/Entertainment/Recreation
    Retail Services (salon, photo, healthclub, florist, etc.)
    Other Retailer    

   NON-RETAILER
    Distributor/Wholesaler
    Other    



5. What are your technology interests? (Check All That Apply)

    POS Software
    Payment Processing
    Networking/VPN
    POS Hardware
    Loss Prevention/Security/Risk
    E-Commerce
    Supply Chain/Logistics
    Wireless/Mobile Computing
    Workforce Management
    Digital Signage
    Kiosks
    Business Intelligence
    Merchandise Mgmt./Inventory Control
    WMS
    AIDC/Barcoding
    In-Store Mobile Devices
    Financial/Accounting Software
    Human Resource Management
    RFID
    Check Processing
    CRM
    Time & Attendance
    Receipt Printers
    Gift/Loyalty Cards


6. Would you like to receive the Retail Solutions Online Newsletter? (Please make sure to provide your email address above)

       Yes      No



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