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Accessories Magazine is available to qualified/first time subscribers in the USA on a free trial basis. To see if you qualify for a free trial subscription to Accessories Magazine, complete the following application. Incomplete forms cannot be processed. Accessories reserves the right to serve only those subscribers who meet it's qualification criteria. Please allow 4-8 weeks for your subscription to start. The information provided below is used only to meet the statistical requirements of our circulation audit. What is the month of your birth? January February March April May June July August September October November December Name Title Store or Company Street Address City, State, and Zip Country Phone Fax EMail Your Store's Category (Retailers Only): Women's Boutique Women's Specialty Chain Store Accessories Store Women's Specialty Store Leathergoods/Gift Shop Women's Better Specialty Store Shoe Store Corporate Buying Office Mass Merchant Department Store Jewelry/Watch Store Catalog/TV Shopping/Internet Gallery/Craft/Museum Shop Other (please specify) Your Job Title: Buyer Gen'l. Merch. Mgr. President Dept. Mgr./Asst. Buyer Owner Div'l. Merch. Mgr. V.P./Exec. Officer Fashion Dir./Coordinator Other (please specify) Your Category Responsibilities: Belts Fashion/Bridge/Fine Jewelry Cosmetics/Perfume Accessories Sunglasses/Eyewear/Readers Junior Accessories Small Leathergoods Scarves/Stoles/Shawls/Wraps/Cold Weather Apparel Handbags Shoes Millinery/Hair Accessories Umbrellas Hosiery/Socks/Bodywear Watches Intimate Apparel Accessories, Home/Office Men's Travelware Other (please specify) Your Position (Non-Retailers Only) Manufacturer Supplier Manufacturer's Rep. Importer Other (please specify) How many stores do you buy for? Single Store Multiple Stores Number of Units: Annual Sales Volume: Under $1 million $1 - $5 million $5 - $10 million $10 - $50 million Over $50 million What price range is your store(s): Better Moderate to Better Popular to Moderate All Price Ranges May Accessories send you e-mail notices regarding your subscription? Yes No May we send you e-mail from relevant third parties? Yes No

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