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The magazine is delivered free to qualified hobby shop owners and others acting in a management capacity. Circulation generally is limited to one magazine per address or store.
To qualify, a retailer must demonstrate that he or she operates a hobby store. Postal and audit regulations require that we make certain only qualified retailers receive the magazine.

Please complete the electronic form below to qualify.

If you are not able to view this form, please print out the pdf version of the form and send it via fax to 262-798-6592. If you still have difficulty, please contact us via email and we will send the form to you.

First Name:
Last Name:
Store/Company Name:
Address:
City:
State/Postal Code:	/
Country:
Phone Number:
Fax Number:
E-mail Address:
Website Address:

Are you a current subscriber to Model Retailer? Yes No
Please enter your customer number (if yes above):

Do you wish to receive or continue to receive a free subscription to model retailer?
Yes No

Each section below must be filled in to qualify.

Type of business:

What type of products do you sell? (Check all that apply)

Model Railroad: HOO Gauge
N ScaleG Scale
Radio Control: Airplanes (Gas)Cars / Trucks
Airplanes (Electric)Operate R/C Track
HelicoptersR/C Repairs / Service area
Boats
Models: Plastic - VehiclesDie Cast - Other
Plastic - MilitaryShips
Die Cast - Vehicles
Slot Cars: Slot Cars
Other Products: (Check all that apply) Wooden ToysTelescopes
ToolsComics / Related Products
Paint / SuppliesRole Playing Games
RocketsBoard Games
BooksSimulators
MagazinesAir Brushes
Educational / ScienceArts / Crafts Supplies
KitesGaming Miniatures
CalendarsPaintball / Airsoft
ToysMetal Detectors
Hobby DVDsPuzzles What is the square footage of your sales floor? Less than 1,0002,501 - 5,000
1,001 - 2,5005,001+
Annual Sales Volume: Less than $100,000$500,000 - $999,999
$100,000 - $249,999$1,000,000+
$250,000 - $499,999Prefer not to answer

Do you sell by internet? Yes No
What year was your store established?
Is your inventory computerized? Yes No

For future verification purposes, what is your first name?

Validation Code
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