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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:  
 
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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: