| Section
1 |
| Your First Name * |
|
Your Surname *
(Last Name) |
|
| Your Job
Title * |
|
| Your Telephone * |
|
| e-mail * |
|
| PR Contact in Company *
(person submitting PR) |
|
| Tel. PR Contact * |
|
| e-mail PR Contact * |
|
| URL for
Press Releases * |
|
Name of
your company / organisation *
|
|
|
| Type of your
Organisation * |
Company
Government
Agency / Department
Official
Approval or Certification Body
Institute
(Trade / Business / Industry Association, Federation,
Institute, etc.)
Other
Organisation (non-profit, lobbying, international, and
others, not specified above)
Educational
institution
Other |
| Address * |
|
| City / Town * |
|
| County / Province /
State * |
|
| Post code * |
|
| Country * |
|
| Telephone (main number)
* |
|
| Fax |
|
| URL of your
Organisation * |
|
|
|
|
| Your main
products or services |
|
| Does your
company own major new technology / patents? |
New Technology Yes
No
New Patents Yes
No |
| If yes,
please provide some details |
|
| Your target
clients / readers |
|
| Your target
sectors (for example, oil and gas, airport security,
etc.) |
|
| Your target
markets |
|
| Year
Established |
|
| Turnover (US
$) * |
|
|
| Does your
organisation buy Media space? |
Yes
No |
| Media Buying Budget per
year (US $) |
|
| Name of Media Buyer |
|
| Tel. Media Buyer |
|
| e-mail Media Buyer |
|
| Media
Buying Agency |
|
| Contact in
Media Buying Agency |
|
| Media
Buying Agency Tel. |
|
| Media
Buying Agency e-mail |
|
| |
|
|
|
| |
|
| Are you
interested to advertise on our portal? * |
Yes
No |
| Would
you be interested in a prominent display of selected
press releases? * (chargeable) |
Yes
No |
|
|
|
| Press
Release Submission: |
| Preferred
method |
by
e-mail (ASCII text-only /
MS Word format accepted only)
online
through interactive form
both
methods OK |
|
