The Scientist Free Subscription

	*The Scientist* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *The Scientist*, please answer ALL of the questions on the form below.
	The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA, Canada

1.	*Do you wish to receive a FREE subscription to The Scientist?*

Yes No

First Name:
Last Name:
Job Title:
Company:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Apt, Suite, Floor, etc.:
City:
State/Province:
Zip Code/Postal Code:
Country:
	(Note: If your country is not listed above, distribution is not currently available at your location.)
Phone:
Fax:
Email Address:
	(Note: Valid email address is required or you could be disqualified.)

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.	Contact Preferences. (please select one answer below for each)

May The Scientist contact you by email about your subscription?
Yes     No

May The Scientist contact you by fax?
Yes     No

The Scientist Daily News - Stay abreast of all the recent developments in the life sciences industry. Breaking news, special online features and hot jobs including the entertaining Culture Friday. Get free access to featured content in this quick, easy-to-scan summary.
Yes     No

The Scientist Monthly Electronic Table of Contents - Be the first to access the most recent issue of The Scientist print magazine content online. Every month we will send you a summary of what is featured and you can decide what is pertinent to you.
Yes     No

Special Announcements - Occasionally The Scientist sends special offers from The Scientist and email announcements on behalf of carefully screened businesses. Please check if you would like to receive 3rd party emails.
Yes     No

3.	Please indicate your job title. (select only one)

Educator Technology Transfer

Product Manager Venture Capital/Law

Researcher/Lab Scientist/Postdoc Technician/Assistant

Senior Researcher (Pl/Lab Dir/Mgr/Head) Other (please specify)

Exec. Management (CEO/Pres/VP/Dir)

Medical Practitioner

4.	Please indicate your type of institution. (select only one)

Academic Private Institution

Commercial/Industrial Other (please specify)

Government

Hospital

5.	Please indicate the highest degree you have acquired. (select all that apply)

B.S./Undergraduate Ph.D./Post Graduate

M.S./1 Year Post Graduate M.B.A./Business

J.D./Law Other (please specify)

M.D./Medical

6.	Do you make or recommend purchases of lab equipment and services?

Yes No

7.	Do you make personal hiring decisions?

Yes No

8.	Please indicate your primary field of work. (select only one)

Biochemistry Microbiology

Bioinformatics Molecular Biology

Biophysics Neuroscience

Biotechnology Pathology

Cancer/Oncology Pharmacology

Cell Biology Physiology

Chemistry Plant Science

Clinical Research Preclinical/Translational

Drug Discovery Proteomics

Genetics Stem Cell

Genomics Toxicology

Immunology Other (please specify)

9.	Please indicate your area(s) of work. (select all that apply)

Biochemistry Microbiology

Bioinformatics Molecular Biology

Biophysics Neuroscience

Biotechnology Pathology

Cancer/Oncology Pharmacology

Cell Biology Physiology

Chemistry Plant Science

Clinical Research Preclinical/Translational

Drug Discovery Proteomics

Genetics Stem Cell

Genomics Toxicology

Immunology Other (please specify)

10.

Please indicate the technique(s) used: (select all that apply)

Antibody preparation Genetic Analysis

Antibody Reagents High Throughput Screening

Biochemicals/Reagents Histology Techniques

Books/Journals/Information Svcs Immunofluorescence/Immunocytochemistry

Carbohydrate/Glycoprotein Methods Laboratory Disposables

Cell Adhesion/Motility Mass Spectroscopy

Cell Culture/Tissue Culture Microarrays

Cell Cycle Microbiological Methods

Cell Death Microscopy

Cell Signaling Oligonucleotides

Chromatography/HPLC PCR Methods

Computer Hardware/Software Protein Analysis/Extraction

Cytogenetics Proteomics

DNA Technology Radiochemicals/Radiography

DNA Protein Interaction RNA Technology

Drug Discovery Separation Techniques

Electrophoresis Stem Cells

Fluorescence/luminescence Transgenics

Gel Imaging X-ray Crystallography

General Laboratory Equipment

11.

For verification purposes, in what city were you born?

Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?

Yes No

Would you like to receive relevant information from TradePub.com on behalf of third party businesses/organizations?

Yes No

Related FREE Offers from TradePub.com: Check those you wish to receive.

Innovative management in clinical trials - Sign up for the eCliniqua Newsletter Today and start receiving news, views, and insights on management challenges related to innovative clinical research management - including development planning and protocol design, novel patient recruitment and retention strategies, emerging technologies, regulatory trends, pharmacovigiliance, and much more.Note: Offer Valid in the United States & Canada Only.

What category best describes your JOB FUNCTION? (select only one)

What is your primary BUSINESS ACTIVITY at this business location? (select only one)

You may receive emails from CHI regarding your subscription. If you do not want to receive this, please check no.

Yes No

You may also receive email from CHI partners whose products match your interests. If you do not want this, please check no.

Yes No

Discover how to find new customers online. Spot Runner brings you new prospects with Online Advertising. We put your business on major search engines like Google, Yahoo, and create you a free video for sites like YouTube! Click to learn more about Spot Runner's Online Advertising solution today! Note: Offer Valid in the United States Only.

4 FREE Trial ISSUES OFFER OF The Economist! Insights on the world, weekly. The Economist is a global weekly magazine written and edited for readers who share an uncommon interest in being well and broadly informed. With objective authority, clarity and wit, The Economist presents well-considered analysis of the world's business, political, scientific, technological and cultural affairs and the connections between them. Subscribe to The Economist today and you'll get 4 RISK-FREE issues as a free trial. If you wish to continue your subscription, you'll receive 20 additional issues - 24 in all for just $2.49 an issue (total of $59.76). That's 58% off the cover price. If you decide The Economist is not for you, write 'cancel' on the bill, return it and owe nothing. Note: Offer Valid in the United States Only.

Click below if you wish to receive email from: (select all that apply)

The Economist

The Economist and other Economist Group companies

The Economist, The Economist Group and selected third parties authorized by The Economist

Project Management and Collaboration Tools for Business Teams - Central Desktop's Award Winning project & collaboration platform serves more than 150,000 users worldwide. Perfect for small business teams or workgroups in large companies. Create secure online workspaces to coordinate and manage projects. Easily share files and collaborate on documents, track projects, manage tasks and share calendars. Get started in minutes without the IT hassle. Free 30-day trial and 25% discount for TradePub Subscribers. Note: Offer Valid in the United States and Canada Only.

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.

* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.