Welcome to the HazardEx: The Journal registration page

Please answer all questions as fully as possible, then click the 'register' button on the bottom of the form

Note: The fields marked X must be completed

Title : X
First name: X
Last name: X
Job Title : X
Company Name : X
Department :
Address : X
Postcode/Zip : X
Country : X
Business Tel : X
Business Fax :
Mobile :
Business Email : X

What is the main activity at this site ?:

X


Is your Company a:

tick all that apply X
Manufacturer Contractor Distributor Consultancy
R&D Establishment Service Provider Other

At this address, how many employees?

X

In the field of Hazardous Area plant and equipment, do you:

tick all that apply X
Specify Authorise Purchase Other
None of these

What is your company's annual expenditure on Hazardous Area plant and equipment?

X

As an extra service to qualifying readers, additional data targeted to their specfic job responsibilities may be sent by email. Please indicate that you would like the information delivered to you by selecting Yes.

X

Normally you are asked to sign a registration card to validate your free subscription, but this is not possible on a web page. Instead we ask a qualifying question that must be answered:
What are the last two digits of your year of birth?    
(e.g. if you were born in 1967 it would be 67) X

By signing up for a free subscription IML will automatically provide you with information relating to your subscription and other relevant IML related products and services via email, direct mail or telephone.

IML reserves the right to refuse the application for a free trial subscription of the magazine if the applicant/application does not comply with the terms and conditions of receipt.

From time to time IML will allow carefully selected parties to contact you about their products and services. Please indicate below your preferences.

Please tick here if you do not want to receive relevant work-related direct mail from selected third parties.
Please tick here if you do not want to receive relevant work-related information by telephone from selected third parties.
Please tick here if you do not want to receive relevant work-related information by fax from selected third parties.

Please Note:IML reserves the right to limit the number of free subscriptions available to individuals meeting the terms of control. If your application is successful please allow 4 weeks before delivery.