| NNSB Member |
Are you currently or formerly a registered journalist with our agency?
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| First Name |
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| Last Name |
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| City |
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| State |
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| Country |
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| Zip Code |
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| Phone |
Your primary contact number
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| Email |
Your best email that you check regularly.
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| Other Agencies |
Are you affiliated currently with another news provider?
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| Purpose of registration |
What is the purpose of you registering with us?
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| How did you hear about us? |
eg. Google Search, another website, John Doe, …
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| Additional comments: |
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