Musical Merchandise Review
A complimentary subscription to the print edition of Musical Merchandise Review will be sent to applicants
who qualify. All questions must be answered completely. The Publisher reserves the right to limit the number of complimentary subscriptions.
All fields highlighted in yellow are required to receive a COMPLIMENTARY subscription
If you are a current subscriber and wish to automatically fill in this form, you may
access your account data in the Account Lookup section below.
Account Lookup
Enter your Account Number
Enter the First 3 Letters of your City
skip spaces and/or punctuation
Look me Up!
How do I find my account Number?
Sample Label
Please enter all 7 digits of your customer identification number which can be found directly above your name/title and mailing address. >>>>>>
 1234567-WAS
MR JOHN SMITH
STORE MANAGER
1101 CONNECTICUT AVE NW
WASHINGTON, DC 20036

OR
If you are a new subscriber you may enter your information below
Keycode:  
Name and Address Information:
COMPANY ADDRESS:
First:
Middle:
Last:
Title:
Company:
Address1:
Address2:
City:
State/Province:   Zip:  
Foreign Postal Code:
Country:  
Telephone:
Fax:*
Email:
Please confirm E-Mail Address by rekeying below:
Email Rekey:
What is your Web Site?
Demographic Information:
I would like to receive/continue to receive Musical Merchandise Review FREE of Charge:
Yes     No 

Would you like to receive our e-newsletter, MMR Mid-Month Report, a recap of news from the global music
   products industry?
Yes     No 

1.) What is your primary business? (Check one):
(01) Retailer/Dealer of Musical Instruments
(02) Manufacturer of Musical Instruments & Equipment
(03) Distributor/Importer of Musical Instruments & Equipment
(04) Manufacturer's Representative
(05) Musical Publisher, Music Educator or Piano Tuner
(06) Other (Please Specify):

2.) What is your title? (Check one):
(11) Owner/Executive
(12) Store Manager
(13) Sales/Dist.Manager
(14) Advertising/Promotion Manager
(15) Other (Please Specify):

3). If you are a Retailer/Dealer of Musical Instruments & Equipment, please complete the following:
        Our store carries the following music product categories: (check all that apply)
(AP) Acoustic Piano
(DP) Digital Piano
(EK) Electronic Keyboard/Synth
(OR) Organ
(BO) Band & Orchestra
(DR) Drums/Percussion
(SR) Sound Reinforcement
(RE) Recording Equipment
(FR) Fretted Instrument
(PM) Print Music
(DJ) DJ Equipment
(KA) Karaoke Products

4). Our store is a:
(1) Single Unit
(2) Two-To-Five Store Chain
(3) Six-To-10 Store Chain
(4) More than 10 Store Chain

5). We are located in a:
(5) Downtown Area
(6) Free Standing Unit
(7) Enclosed Mall
(8) Strip Mall
(9) Other (Please Classify):

6). What is your store size? (Square feet)

7). Do you have a repair department?
Yes     No 

In order to verify your request for this publication, without the availability of a signature our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request.
 
What is the last digit of the year you were born?