Feed International Free Subscription

	*Feed International* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Feed International*, please answer ALL of the questions on the form below.
	The publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: Europe, Middle East, Africa, Asia Pacific, Central & South America (Not including USA, Canada and Mexico. If you are in the USA, Canada, Mexico or the Carribean, please click here: Feed Management.)

1.	*Do you wish to receive a FREE subscription to Feed International?*

Yes No

1a.

Which edition do you wish to receive?

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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)
Email:
	(Note: Valid email address is required or you could be disqualified.)
Phone Number:
Fax Number:
Company Address:
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	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
	*(If you are in the USA, Canada, Mexico or the Carribean, click here Feed Management.)*

What is the approximate number of employees in your company? (select only one)

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

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

3.	Title (select only one)

General Administrative Marketing & Sales

Mill/Plant Operations Other: (please specify)

Vets, QC, Nutritionists

PRIMARY OCCUPATION (If you are in the feed industries, please answer questions 4, 5, and 6 below. Otherwise skip to question 7.).

4.	FEED INDUSTRIES: Please check primary operation of your business: (select only one)

Feed Manufacturer Selling to Others Nutritionist

Pre-Mix Manufacturer Selling to Others Manufacturers/Distributors/Brokers of:

Feed Dealer Feed Additives

Feed Mixer Feed Ingredients

Elevator Animal Health

Livestock/Poultry Producer Mixing Feed for own use Equipment/Machinery

Veterinarian

5.	If you checked any of the above, please indicate your average weekly tonnage: (select only one)

500 or more tons 50-99 tons

200-499 tons Less than 50 tons

100-199 tons

6.	Types of feed manufactured or sold at this location: (select all that apply)

Beef Cattle Turkey

Dairy Horse

Pig Dog/Cat

Broiler Fish

Layer/Pullet

7.	ALLIED INDUSTRIES: Please check primary operation of your business: (select only one)

Importer/Exporter Consultant

Extension/College Other (please specify)

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