Free HHN Mag
hospitalconnect.com
go
               advanced search >>   
  
 
 

Health care industry personnel please complete the questions below to receive a FREE subscription.

For non-health care industry personnel, please click here.

*Signifies that an entry is required.

I wish to receive/continue receiving MM FREE*     Yes  No
(Note: Please enter your information below. If you would like to order a subscription on behalf of someone else, please include their information at the bottom of this form.)
First Name:*
Last Name:*
Job Title:*
Department:
Company:*
Company Phone:
(Ex: 555-555-5555)
Company Fax:
(Ex: 555-555-5555)
Address:*
City:*
State:*
Zip Code:*
Email:*

Hospital/Nursing Home Personnel (bed count):
# of Beds* (Enter 'N' if unknown.)
 

Please check the one category which best describes your title/business:*


Hospital/Nursing Home Personnel:

01 VP/Asst Adm Matls Mgt/Purch

11 Support Svc incl. Genl & Ancillary

02 CPO/Dir Matls Mgt/Purch

03 CFO/Controller/Acctg Mgr/Busn Mgr 38 Prod Eval/Safety Comm Member 04 Buyer/Purch Agent
05 Supply Chain Manager 10 Inv/Distr/Storeroom Mgr 06 Dir Surg/Oper Rm
07 Dir Central Svcs 12 Value Analysis Professionals 08 Nurse Execs/Nurse Mgr
09 Infection Control Spec        

Multi-Hospital System Personal:

23 CPO/Mgmt/Purchasing

24 Finance 99 Other (specify)
25 Nurse Executives 26 supply Chain  

Other Health Care Organization Personnel:

33 Med Clinic/Grp Prac

39 Consultant

34 Surg/Emerg/Amb

35 HMO/PPO 99 Other(specify) 37 GPO
      40 Mfg Eq & Svcs

From time to time MM and its partners may use the information provided to offer you pertinent industry information.

From time to time Health Forum and its partners may use the information provided on your subscription/renewal to offer you pertinent industry information.
Do you wish to receive this information? * Yes No

MM is an audited circulation magazine. In order to verify request with availability of a signature, our auditors require that we ask for one piece of personal information from you. This information is solely for the purpose of audit requirements.

What is the city of your birth? *

 * Please note that the Publisher reserves the right to determine free eligibility.


Additional Subscriptions: Please list below other members of your staff at this location to whom we should send or continue to send a FREE subscription to MM.

First Name: Last Name: Job Title:
First Name: Last Name: Job Title:


  



HOME | ABOUT HEALTH FORUM | CONTACT US | AHA HOME | HEALTH FORUM PRESS RELEASES

The views expressed in these websites are those of the sponsoring organization
and do not necessarily reflect the views of the American Hospital Association.