SP New 022113

CSP Subscription Form

*= Required in order to receive a subscription for Convenience Store Products
* First Name
* Last Name
* Title
* Company Name
* Street Address or PO Box
Department/Mail Stop
* City
State/Province
Zip/Postal Code:
Country
* Phone()-
Fax()-
* Email Address
* Confirm Email Address
* I would like to receive/continue to receive my FREE subscription to Convenience Store Products 
  Yes
  No thanks
* What subscription delivery method do you prefer?

NOTE: - Print edition available free in U.S. and Canada only.
  Print
  Digital
  Both
* For circulation auditing and verification purposes, Convenience Store Products is required to ask the following question. This information is required and will not be shared.
On what day of the month were you born?
* What is your primary type of business? (check one only)
Chain/Franchise/Petroleum marketer including headquarters, regional or district office
Convenience/Petroleum chain operated store office
Single Store Headquarters
College Store
Distributor/Wholesaler/Broker
Supplier/Manufacturer of products/services for the convenience channel
Association
Consultant
Other (please specify) 
* What is your title? (check one only)
Chairperson, CEO, President, Owner, Franchisee, Partner
COO, CFO, VP, General Manager
Supervisor, Regional or District Manager, Operations Manager
Buyer, Director, Merchandise Manager, Category Manager, Marketing Manager
Store Manager
Other (please specify) 
* Which of the following products or services do you specify, influence, recommend or buy? (check all that apply)
 Tobacco
 Non-Alcoholic Beverages
 Alcoholic Beverages
 Dairy Products
 Snacks
 Candy
 Food Service
 Grocery
 General Merchandise/HBC
 Fuel Equipment
 Technology
 Services (inc. Financial, ATM, Lottery, etc.)
 Carwash
 I DO NOT specify, influence, recommend or buy products and services
* What is the number of stores in your chain or business? (check one only)
  1
  2-3
  4-10
  11-50
  51-200
  201 or more
* What is the average store’s sales volume? (check one only)
  More than $1 million
  Less than $1 million
I would like to receive/continue to receive a FREE subscription to CSP Daily News.
  Yes (email address is required if you wish to receive CSP Daily News)
  No, thanks
Please list the names, phone numbers, and titles of other people at your company who would be interested in receiving Convenience Store Product.
First Name
Last Name
Email
Phone
Title
First Name
Last Name
Email
Phone
Title
First Name
Last Name
Email
Phone
Title
 
Free subscriptions are available to qualified recipients in the United States and Canada. Paid subscriptions are available to all others. The publisher reserves the right to limit the number of free subscriptions and set qualification criteria for a free subscription.