Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
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FAX
email

Select any of the following options that apply:

I have Internet Access
I seek Manufacturer Information on the Web
I seek Distributor Information on the Web
I would order parts or services via e-mail on the web

My primary business is (Please select/highlight from the following - required information):

Please select from the following: Logging firm or contractor Trucking Company Cruising Contractor Road Builder or Materials Producer Combined Logging/Processing?Forestry Sawmill or Chip Mill Specialty Wood Products Association Forest Management/Govt Broker/Consultant Equipment Mfg Equipment Distributor/Dealer Add Agency Other - not listed

Type of Subscription Request:

This is a New Subscription Request
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If you have changed your address, please fill out the following ... in the space provided below.  Please include your former address and your new address

Former Address:

New Address:

Because this information is being obtained by email, and we are audited by CCAB, a division of BPA, we need to ask a question which relates directly to the subscriber. This question is....... 
What is the last digit of the year in which you were born?

I would like more information on products advertised in this issue of Timber/West - please enter the month of the issue and the appropriate numbers ... in the space provided below.

You must also include your signature and must print out the form and Fax the form to (905)294-8645: or mail to:
Cole Circulation Management, Attention, Maureen.
42 Pringle Ave
Markham, ON L3P 2P4
Canada
Incomplete or unsigned forms will not be acknowledged.

I Wish to Receive TimberWest: Yes: ______________ No: ___________ (please check)

_________________________________________________________Signature

_____________________________ Date