ABA Banking Journal Free Subscription

	*ABA Banking Journal* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *ABA Banking Journal*, 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: USA

1.	*Do you wish to receive a FREE subscription to ABA Banking Journal?*

Yes No

First Name :
Last Name :
Job Title :
	(Ex: Director, Vice President, Project Manager, etc.)
Company or Organization :
	(Please provide your Company Name in full: abbreviations could disqualify you)
Mailing Address :
City :
State, Province or Territory :
Zip or Postal Code :
Country :
	(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Phone Number :
Fax Number :
Email Address :
	(Note: Valid email address is required or you could be disqualified.)

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

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

2.	*In what format would you like to receive ABA Banking Journal?*

Digital/Electronic Both print and digital

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

Commercial Bank or Trust Co. Industrial/Communications Co.

Saving and Loan Association Retail/Supplier/Manufacturing Co.

Mutual Saving Bank Insurance Co./Law Firm

Mortgage Bank Government

Credit Union College, School, Library or Assoc.

Finance/ Accounting/ Consulting Co. Other (please specify)

Investment Bank/ Brokerage House

4.	What is your title? (select only one)

Director, Trustee

Chairman, Vice Chairman, Pres., CEO

CFO, Comptroller

Exec. V.P., First VP, Sr.VP, General Counsel

IT/MIS/DP-V.P., Officer, Director, Mgr.

Operations- VP Officer, Director, Mgr.

Mktg.-V.P. Officer, Director, Mgr.

VP, VP Commercial Lending, VP Retail Banking, VP Mortgage, Trust Officer.

Cashier, Asst Cashier, Corp. Secretary, Treasurer, Auditor

Asst. V.P. Dept Mgr., Br. Mgr., Acctg. Mgr.

P.R. Officer, Personnel Officer, Accountant, Staff Atty., Compliance Officer, Loan Officer

Librarian/Customer Svc. Representative

Other: (please specify)

5.	What is your primary job function? (select only one)

General/Corporate Management examples: Chairpersons, CEO, Pres., V.P., Dir. Risk Management

Information Technology Installment Lending

Operations Asset/Liability Management

Retail Investment Products Compliance

Bank Cards Commercial Mortgages

Residential Mortgages Marketing

Retail Banking Insurance

Commercial Lending Credit/Collections

Trust Services Protection/Security

Telecommunications Other: (please specify)

6.	What is the asset size of your institution at holding company level? (select only one)

$10 Billion & Above $100 Million - $250 Million

$5 - 10 Billion $75 Million - $100 Million

$1 - 5 Billion $50 Million - $75 Million

$750 Million - $1 Billion $25 Million - $50 Million

$500 Million - $750 Million Less than $25 Million

$250 Million - $500 Million

7.	As proof to our auditors that you have requested to receive our magazine, please indicate your month of birth:

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