Total Landscape Care Free Subscription

	*Total Landscape Care* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Total Landscape Care*, 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

1.	*Do you wish to receive a FREE subscription to Total Landscape Care?*

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First Name:
Last Name:
Title:
	(Ex: Owner, Partner, Service Manager, Technician, etc.)
Company Name:
	(Please provide your Company Name in full: abbreviations could disqualify you)
Street Address:
Dept/Mail Stop/Suite:
City:
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Country:
	(Note: If your country is not listed above, distribution is not currently available at your location.)
Email Address:
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By providing your fax number, email address, and personal id on this form you are agreeing to receive from Randall-Reilly Publishing Co. faxes or email pertaining to subscription renewal notices or forms, subscription information or advertising that may be of interest to you.

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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 lieu of a signature, we require a unique identifier used only for subscription verification purposes. On what day of the month were you born?

3.	What is your primary business at this location? (select only one)

Landscape Contractor (Full Service)

Chemical Lawn Care Company

Lawn Maintenance Company

Ornamental Shrub & Tree Service

Irrigation Contractor

Landscape Architect

Other Contract Services (please specify)

In-house maintenance including educational facilities, health care facilities, government grounds, parks & military installations, condominium complexes, housing developments, private estates, commercial & industrial parks

Other (please specify)

4.	Which of the following best describes your title? (select only one)

Executive/Administrator - President, Owner, Partner, Director, General Manager, Chairman of the Board, Purchasing Agent

Manager/Superintendent - Arborist, Architect, Landscape/Grounds Manager, Superintendent, Foreman, Supervisor

Government Official - Government Commissioner, Agent, Other Government Official

Specialist - Forester, Consultant, Agronomist, Pilot, Instructor, Researcher, Horticulturist, Certified Specialist

Other (please specify)

5.	What services does your business offer? (select only one)

Landscape Design Landscape Maintenance cont.

Landscape Installation Irrigation Maintenance

Seeding or Sodding Erosion Control

Turf & Ornamental Installation Chemical Application

Bedding Plants & Color Installation Turf Disease Control

Irrigation Installation Turf Insect Control

Landscape Lighting Turf Weed Control

Hardscape Installation Tree & Ornamental Pesticide Application

Water Features Other:

Landscape Maintenance Hydroseeding

Landscape Renovation Snow Removal

Turf Fertilization Interior Landscape

Turf Aeration Structural Pest Control

Mowing Holiday Lighting

Tree & Ornamental Care Other (please specify)

Tree & Stump Removal

6.	My firm's annual revenue is: (select only one)

Less than $500,000 $1,500,000 to $1,999,999

$500,000 to $999,999 $2,000,000 to $4,000,000

$1,000,000 to $1,499,999 More than $4,000,000

7.	In the performance of my job, I have the authority to specify, select and/or approve acquisition of the following: (select all that apply)

Compact excavating, grading and/or other types of earthmoving equipment Chemicals and fertilizers

Walk-behind or ride-on lawn mowers Watering or irrigation systems

Weed-eaters, blowers, edgers and other types of support equipment. Decorative items (hardscaping materials, tile, stone, timber, decorative lighting)

General utility equipment (pumps, generators, lighting) Plants and seed

Trucks and trailers None of the Above

Safety equipment and/or apparel

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