BankNews Cover

Contract Publishing Request Form

* REQUIRED
Your Name *
Title *
Organization *
Address *
Address 2
City *
State *
Zip *
Email *
Phone *
Publication Status *   Currently publish magazine in-house
  Currently use another contract publisher
  Want to start new magazine
  Want to upgrade from newsletter
Frequency *
Number of pages *
Annual Ad Revenue *
When would service begin? *
Services (check all that apply) *   Complete Publishing Solution (Editorial Assistance, Design, Production, Printing, Mailing, Ad Sales)
  Advertising Management Program
  Collateral Material Design and Production
  Other (please specify under Additional Comments)
Additional Comments
Please type the code shown in the image: *
Kryptronic Internet Software Solutions