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Registration for free listing on http://journalist.net

Are you a professional journalist or photographer? Then you are entitled
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Use this fax form to register.


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For registration, fill this out and fax this form

your name:		__________________________  male/female

street address:		_______________________________________

zip code and city:	_______________________________________

country:		_______________________________________

phone: 	_____________  fax: ________________ e-mail: ___________________

name of publication:	_______________________________________

your position:		_______________________________________

Tick this box if you are a free-lance journalist: 

If you wish, we can publish the items that you specialize in, so that you can
profile yourself. The areas of interest that you cover:

_______________________________________________________________

_______________________________________________________________



place and date: 	_______________________________________



signature:		______________________________