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* 1. Please provide the following details:

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* 2. In place of a personal signature, our Circulation Auditor requires that you answer an audit verification question to ensure the authenticity of your subscription request:

- Please provide us with your day of birth:

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* 3. My Primary business is:

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* 4. The following job group best describes my job:

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* 5. The following job function best describes my job:

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