Home Media Digital Edition Online Subscription Form
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*  I wish to receive (continue to receive) Home Media Magazine's digital edition. 
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ALTERNATE DELIVERY ADDRESS

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* 1. Which of the following best describes your company’s primary business? (Fill in ONE only)
  Video Specialty
  Consumer Electronics
  Drug Store
  Supermarket/ Convenience
  Music/ DVD/ Book
  Computer/ Video Games
  Mass Merchant/ Warehouse/ Club/ Department/ Toy
  Other retailer (specify)
  E-Commerce retailing/ Mail Order Catalog
  Ancillary Products
  Hardware Manufacturers
  Consumer Press/ Critic/ Reviewer
  Financial Analyst
  Video on Demand (VOD)/ Cable/ Digital Delivery
  Consumer
  Public Relations/ Ad Agency/ Creative
  Custom Installers
  Computer,Internet&Tech Firms, Etc
  Distributor/ Rack Jobber
  Programming/ Content Supplier
  Other (please specify) 
* 2. Which of the following best describes your Title? (Fill in ONE only)
  Owner/ CEO/ CFO
  President/ Vice President/ General Manager
  Director/ Manager/ Assistant Manager
  DVD Buyer
  Games Buyer
  Music Buyer
  Hardware Buyer
  Merchandise Manager
  Store Manager/ Associates
  Sales Representative/ Consultant
  Product Manager
  Attorney/ Legal Affairs
  Installer/ Technician/ Service/ Repair
  Writer/ Critic/ Reviewer
  On Air Personality
  Financial/ Business Analyst
  Other (Please Specify) 
3. Type of ownership: Chain, Franchise or Independent?
  Chain
  Franchise
  Independent
3a. How many stores are part of this chain/franchise? (Fill in ONE only)
  2-9
  10-49
  50-99
  100-499
  500-999
  1000+
4. Are you located at a corporate or regional headquarters?
  No
  Yes
5.  What is the size of your DVD Rental Inventory: (Answer for this location ONLY)
  Less than 2,500
  2500-4999 units
  5,000-9,999 units
  10,000-14,999 units
  15,000 or more units
  NA
6. What is the size of your sellthrough inventory? (Answer for this location ONLY)
  Less than 2,500
  2500-4999 units
  5,000-9,999 units
  10,000-14,999 units
  15,000 or more units
  NA
7. Are you responsible for rental buying?
  Yes
  No
8. Are you responsible for sellthrough buying?
  Yes
  No
9. What products do you rent/sell? (Fill in ALL that apply)
 DVD
 Music
 Blu-Ray
 Adult Products
 Blank Media
 Video Games/ Computer Games
 Licensed Merchandise
 Magazines/ Books
 Candy/ Popcorn/ Soda
 Music Digital Downloads
 Movie Memorabilia/ Posters
 Game Digital Downloads
 Video Digital Downloads
 Hardware
 None of the above
10. Which of the following magazines do you read on a regular basic? (Fill in ALL that apply)
 Billboard
 Supermarket News
 DSN Retailing Today
 Video Business
 Ad Age
 None of the above
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