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Member Questionnaire
Please contact
Hannah Reinhold
for a copy of your current member questionnaire data.
Publication Name:
*
City:
*
State:
*
Select
AL
AK
AB
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MD
MA
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NL
NC
ND
NT
NU
OH
OK
ON
OR
PA
PE
PR
QC
RI
SK
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip code:
*
Form Completed By:
*
Email:
*
Which description best describes your publication
Community Newspaper
% Advertising
% Editorial
Shopper - no editorial content, advertising only
Shopper - some editorial content, with advertising
% Advertising
% Editorial
Magazine – Content:
% Advertising
% Editorial
Parenting Publication
% Advertising
% Editorial
Senior Publication
% Advertising
% Editorial
African American Publication
% Advertising
% Editorial
Business Publication
% Advertising
% Editorial
Alternative Weekly
% Advertising
% Editorial
Latino Publication
% English
% Spanish
Translation services available:
Yes
No
% Advertising
% Editorial
Other Ethnic Publication
% English
% Other Language
Translation services available:
Yes
No
% Advertising
% Editorial
TMC (Total Market Coverage)
% Inserted Daily
% Separate Delivery
% Advertising
% Editorial
Telephone Directory
Other – Specify:
% Advertising
% Editorial
Contacts
Quantity
Name
Phone
Fax
Email
Publisher:
Advertising:
Circulation:
Production:
Format
Broadsheet
Tabloid
Magazine
Other
– Specify:
Number of Editions (per issue):
Advertising Zones:
Average Page Count:
Publishing Cycle
Daily
2X-Weekly
3X-Weekly
1X-Weekly
Monthly
Other
– Explain:
Distribution Day(s)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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