Entry Form

Please Complete the form and click the submit button, the form will be submitted via the internet and a printable page will be opened which you can print and attach to your entry. (All areas marked * are compulsory)

1. Name of publication/Video*

2. Organisation*

3. Editor

Name:

Tel:

Fax:

E-Mail:

Cell:

Person Entering Competition (**Required)

Name**:

Tel:

Fax:

E-Mail**

Address*:

Postal Code*:

6. Category*:

URL (If Website)

7. Number of Issues per year*:

8. Circulation (Number of issues printed per edition)*:

9. Number of employees reached in case of video:

10. Estimated budget per issue*: (Please provide a breakdown of printing, distribution and other costs)

11. Number of full time editorial staff (including the editor)*:

12. Indicate which part of the production process is outsourced to professionals or done by the editorial team*

Research/gathering of information

Writing

Language editing

Design & Layout

Photography

13. Method of Payment*

14. Briefly describe the following in not more than 200 words: * * Your organisation’s core business and geographical distribution * The role of your publication in the organisation and your publications objectives * Profile of your readers. Include factors such as language, culture, income and education level

15. I want to enter for Editor of the year.

(Please go to Editor of the Year and email a separate document covering the information required)

Verification (Please type the characters to verify that this is not an automated entry)