Modern Building Services registration

Fill in the following subscriber information (fields in bold are required)

First name
Last name
Job title
Company name
Address1
Address2
Address3
Town
County
Postcode
Country
Telephone
e-mail
	Please supply us with a personal email address, so we can contact you for a mailing list update in the event of your address or employer changing.

Nature of your work

Design
Installation
Manufacturing
Operation and maintenance
Cost consultant
R&D/Academic
Other (please specify)

Your areas of responsibility (check at least one box)

Air conditioning
Heating
Air distribution
Piped services
Electrical services
Lighting
Controls and building-management systems
Energy Management/Facilities Management
Operation and Maintenance
Other (please specify)

Type of company/organisation you work for (check only one box)

Consultancy
Architectural practice
Contractor ( Includes design/install contractor, maintenance contractor and and contract energy management company)
User (Includes/ all/ categories of user such as retail sector, hotels, offices, hospitals, manufacturers, leisure complexes and other entertainment facilities.)
Manufacturer of building-services plant and equipment
Distributor/agent
Institution or trade association related to building services
Other (please specify)

Job title/function (check only one box)

Director
Partner
Associate
Manager
Engineer
Project manager
Facilities/Energy manager
Research/Academic
Other (please specify)

Do you have purchasing or specifying responsibility?

yes
no

The Audit Bureau of Circulation may contact you to verify that your reader registration is authentic. Would you therefore please answer the following Personal Identifier Question.
Date of month born (or Date of birthday) - i.e. 1 to 31. For example: If your date of birth is 17 March 1972, then the only information required is 17.

If there is anyone else at this address who you believe would benefit from receiving a copy of "Modern Building Services", please write their names and positions in the box below.

We may communicate with you about other offers or pass your name and address to other reputable companies whose products and services may be of interest to you. Please check this box if you do not wish to receive such offers

We will not disclose your data outside Portico Publishing unless we have your permission and as detailed in our privacy policy.