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Media Database Information Update Form

TIACA requests your kind assistance in providing the following information about your publication/s for our media database and mailing list for press release mailings:

Name of contact person
Position
Name of publication
Distribution area
Type of publication
Frequency of publication
Address
Address2
City
State
Province
Postal Code
Country
Delivery method preferred

Telephone (country code, city code, etc.)

Fax

E-mail

Ownership or Control

       


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