State News Editor Application Form
FORM HAS BEEN DISABLED DUE TO SPAMMERS!
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Web Page URL :
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 E-Mail Address :
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Organizations or Affiliations :
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Full Name :
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Street Address :
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City/Town :
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State :
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Zip/Postal Code :
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Phone :
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Fax :
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State Desired :
Select State you wish to be the Editor for.
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Select ONE State :
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Please List :
Your Areas of Expertise or Experience.
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Priority 1 :
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Priority 2 :
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Priority 3 :
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Please give us any
additional information
that may help to determine
your best placement.
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How often do you feel you can
update this News System ?
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Access Control :
Your Desired Username / Password.
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Username :
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Password :
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Please do not apply unless you are
Serious about Taking The Time to do this Job.
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