Reference/Research Publications Input Form

This form allows you to provide users of the Info-Xone with information about your publication. The InfoXone deals with a large number 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 of Publication:
Organization:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal code:
Country:
Work Phone:
FAX:
E-mail:
URL:

What is the scope of this publication?\

What is the circulation of your publication?
What is the readership of your publication?

List the names and job titles of the editor and any other senior journalists:
Any other information you would like included:
Any comments to help us:

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: November 15th, 1999