Audit Request

Please fill out the required fields* and all other relevant information before finishing the member request form. Once you have finished the form, click on the Submit button at the bottom of the page. You will receive confirmation that your questionnaire has been submitted.

Company Name/
Corporate Affilliation: *
Publication Name: *
Address:
City: * State: *
Zip code: *
Phone: Fax:
Email: * Website:
Please list a contact in the fields below
General Manager: 
Advertising: 
Circulation: 
Publication Frequency
Edition Day(s) if applicable
Printing Method
Format
Average Page Count:
What other media would you like included with your audit? (No additional charges)
Previous Auditing Company
If you have been audited by another audit company, you will be asked to provide a copy of your most recent audit report.
Distribution Quantities
Quantity Distribution Type Distribution Explanation
Carrier Home Delivery Delivery to residences by carrier.
Controlled Bulk Drop - SC Delivery of bulk copies to stores or racks
Mail U.S. Postal Service deliveries to individuals
Office Copies File, tear sheet, office use and restock editions.
Other Hotel / Waiting Room / NIE / Events / Etc. 
Other Please explain: 
Total Copies Printed Balance number printed to distribution types above.
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