Trustcompare Subscription Form Trustcompare Subscription Form Organization*Name*Title*Street Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*Phone*Email* Most Recent Data Year Suscribed*Please choose oneFirst Year Subscribing201820172016201520142013201220112010Referred by name:Referred by organization:Subscription Level*Choose oneCore Metrics ReportGrowth & Productivity ReportTotal $0.00 Payment*Please send me an invoice. I will be paying by check.I prefer to pay by credit card.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name By your submission of this subscription form, you give Pohl Consulting and Training, Inc. permission to use your subscriber data and/or ratios in compiling peer group composites and range information data to be used in the Trustcompare performance reports. Pohl Consulting and Training, Inc. agrees not to disclose the contents of the subscriber data, data accumulation materials, or identity of ratios computed therefrom, except to the subscribing organization. Pohl Consulting and Training, Inc. will respect the confidential nature of your information and will keep it in confidence, protecting it to the same extent that we protect our own proprietary information. Pohl Consulting and Training, Inc. will, however, use subscriber data and/or ratios in peer group composites and range information. Composite information and unidentified ratios may and will be used by Pohl Consulting and Training, Inc. Name of subscribing organizations may be shared with those in their peer group.NameThis field is for validation purposes and should be left unchanged.