Journalists Input Form

This form allows you to provide users of the Info-Xone with information about yourself. The InfoXone deals with thousands of enquiries every day so it is in your interest to be accurate and to keep the information up-to-date.

Please provide the following contact information:

Name:
Organization, if appropriate:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal code:
Country:
Work Phone:
FAX:
E-mail:
URL:

Please indicate subject areas in which you have expertise (tick as many as are applicable):

International News	National News	Local News
Comedy	Drama	Financial Matters
Financial Matters	Music - Classical	Music - Popular
Sport	Traffic	Women's Issues

Other (Please specify):

Please indicate industrial sectors in which you have expertise (tick as many as are applicable):

Agriculture	Arts	Broadcasting
Building/Construction	Business/Services	Charity
Clothing	Education	Electronics
Engineering	Financial Services	Food and Drink
Government	Health/Pharmaceutical	IT
Leisure/Travel	Manufacturing	Media
Professional Services	Property	Retail
Sport	Telecommunications	Transport
Utilities

List the most important publications/programmes for which you have worked:

For quality control and checking purposes, please give:
Name of respondent:
Job Title of Respondent:

Panarc International reserves the right to check, edit or reject any submission.

Last revised: July 25th, 1999