If you are the publisher of a free distribution publication and would like to apply for membership in FCPNY, just fill out and email the form below. Or, email Dan Holmes and have an application sent to you.

* = Required Field
------------------------------------
* Company Name
* Business Address
* Mailing Address
* Phone Number
* Publisher
* Sales Manager
* Classified Ad Manager
* Combined Total Circulation
* Delivered By Mail?
* Delivered By Hand?
* Is your circulation Audited?
If So, by whom?
* Rate Per Column Inch
* Rate Per Line
* Business Classified Ad Rate
* Personal Classified Ad Rate
Space Rates:
* Full Page
* 1/2 page
* 1/4 Page
* Agency Rate Commissionable?
* Inserts Accepted?
* Rate Per Thousand
* Mechanical Requirements
Columns X (Inches)
Offset
Print Your Own
Other or Central Printing
Where
Spot Color Charges
Position Charge
Deadline
Publication Date
* Member Of IFPA
* Or association of Free Community Papers
Please enter code as seen here	Reload this image if needed (enter code here to prevent spamming)