Company name:
Contact name:
Phone:
Fax:
Email address:

Company website address:

Number of magazines your company publishes?:
Do you have an existing reprint program? Yes No

If you have an existing reprint program:

How is it managed? Internally Outsourced
Is it managed proactively or reactively? Proactively Reactively
What is the approximate number of reprint orders you recieve annually? 1 - 50 51 - 100 101 - 200 201 - 300 301 - 400 401 - 500 501 - 750 751 - 1,000 1000+

What is the annual gross revenue generated from reprint sales?	Less than $100,000 $100,001 - 300,000 $301,000 - $500,000 $500,001 - $750,000 $1 - $2 million $2 million +