EBM EBM

Government Food Service


Qualified Subscription Information


To start your free subscription to Government Food Service, please fill out the subscription form below completely. (If we have any questions, we'll contact you.)

(*)Indicates a required field:

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*I wish to receive a free subscription to Government Food Service. Yes No
*First Name:  
 
*Last Name:  
 
*Title:  
 
*Facility:  
 
*Address:  
 
*City:  
 
 *State:  

(For foreign addresses enter ZZ in state and zip code fields, and input country in country field.)
   
*Zip Code:  
   
Country:  
 
Province:  
 
Foreign Zip:  
 
*Phone:  
 
Fax:  
 
*Email:  
 
Please provide as much of the following information on your facility as you can:
 
If you are responding to a postal mailing or an email, if possible, please enter the ID number found in the first address line on the mailing label:
   
(A) Type of facility: Dining Hall/Galley/Mess/Wardroom
Fast Food/QSR
Casual Dining
Snack Bar
Catering
Conference Center
Club
Other  
   
(B) Type of funding: Appropriated Fund (APR)
Nonappropriated Fund (NAF)
Other  
   
(C) Type of operation: Direct-operated
Concession
Contract-operated
If contract-operated, company name of operator  
   
(D) What is the primary occupation in the facility? Management
Operations
Purchasing/Contracting
Other  
   
(E) Annual Purchases:
Food/Beverage $   
Other $   
   
(F) Customers/Day (Avg. #)
   
(G) Are you a member of the armed forces? Yes spacerNo
   Branch of Service: 
   Name of Agency/Activity: 
   
(H) If a city, state or local government facility, specify location and type.
   
   
List below the names and titles of anyone at your facility you want to receive a FREE subscription to Government Food Service. (We're sorry–but names without titles cannot be processed.)
 

   
First Name:  
 
 
Last Name:  
 
Title:  
 

   
First Name:  
 
Last Name:  
 
Title:  
 


 
First Name:  
   
Last Name:  
   
Title:  
 
 

If you have any questions, please call the Circulation Department
at 516-334-3030 or Ernesto@ebmpubs.com.